THE REPUBLIC OF UGANDA

MINISTRY OF HEALTH
ANNUAL HEALTH SECTOR
PERFORMANCE REPORT
2023/24
© Ministry of Health, Uganda 2024

ANNUAL HEALTH SECTOR PERFORMANCE REPORT FINANCIAL YEAR 2023/24

All rights reserved. No part of this book may be reproduced or used in any manner without
the prior written permission.

Plot 6 Lourdel Road, Nakasero P.O Box 7272, Kampala, Uganda

[email protected] https://www.health.go.ug/ @MinofHealthUg

Production of this report was made possible with technical and financial support from Clinton
Access Initiative and UNICEF.
 THE REPUBLIC OF UGANDA

MINISTRY OF HEALTH
ANNUAL HEALTH SECTOR
PERFORMANCE REPORT
2023/24
Table of Contents
Acronyms..................................................................................................................................................viii
Foreword......................................................................................................................................................x
Acknowledgement ..................................................................................................................................xi
Executive Summary..................................................................................................................................xii

CHAPTER 1
Introduction.................................................................................................................................................1
1.1 Background........................................................................................................................................................ 1
1.2 Vision, Mission, Goal and Strategic Objectives of the Health Sector........................................................... 2
1.3 Ministerial Policy Statement Sub-Programme Priorities for the FY 2023/24 ............................................... 3
1.4 The Projected Demographics for FY 2023/24 ................................................................................................ 4
1.5 The Process of Compiling the Report.............................................................................................................. 4

CHAPTER 3
Overall Sector Performance and Progress.................................................................................................5
2.1 Performance against the NDP III Key Result Areas (KRAs) .......................................................................... 6
2.2 Disease Burden ................................................................................................................................................16
2.2.1 Outpatients Department (OPD) Attendances ....................................................................................16
2.2.2 Common Conditions in OPD Attendance ..........................................................................................17
2.2.3 Injuries among OPD Attendances ..................................................................................................... 21
2.2.4 Status of Emergency Medical Services in Uganda........................................................................... 23
2.2.5 Mental Health Conditions among OPD Attendance ........................................................................ 24
2.2.6 Inpatient Admissions ......................................................................................................................... 26
2.2.7 Conditions Leading to Health Facility Admissions .......................................................................... 28
2.2.8 Inpatient Mortality (Deaths) ............................................................................................................... 29
2.3 Performance against the Key Health Outcome Indicators .......................................................................... 31
2.4 Essential Medicines and Health Supplies (EMHS)........................................................................................ 66
2.4.1 Average availability of EMHS ............................................................................................................ 66
2.4.2 EMHS Credit Line at National Medical Stores (NMS)...................................................................... 68
2.4.3 EMHS Credit Line for PNFP’s at Joint Medical Stores (JMS) ......................................................... 69
2.5 Health Financing.............................................................................................................................................. 70
2.5.1 Health Financing Landscape in Uganda............................................................................................ 70
2.5.2 Budget performance of the health-sub-program for FY 2023/24 ................................................... 72
2.5.3 Budget performance by health institutions and hospitals............................................................... 72
2.6 Emerging issues for further analysis, discussion and prioritization during the 30th JRM .......................74

ii ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

CHAPTER 3
Local Government and Health Facility Performance..............................................................................76
3.1 The League Tables (LT).....................................................................................................................................76
3.1.1 The National League Table.................................................................................................................. 77
3.1.2 The Regional League Table................................................................................................................. 79
3.2 HEALTH FACILITY LEVEL PERFORMANCE.................................................................................................... 82
3.2.1 Health Facility Performance ............................................................................................................... 82
3.2.2 Performance of National Referral and Specialised Hospitals.......................................................... 83
3.2.3 Performance of RRHs and Large PNFP.............................................................................................. 85
3.2.4 Performance of the General Hospitalss............................................................................................. 87
3.2.5 Health Centre IV Performance............................................................................................................ 89
3.2.6 Health Centre III & II Performance..................................................................................................... 90
3.3 Community Health Services ............................................................................................................. 91
3.3.1 Village Health Teams .......................................................................................................................... 91
3.3.2 Community Health Extension Workers ............................................................................................. 91
3.3.3 CHW Outputs ..................................................................................................................................... 93
3.3.4 The Community Dashboard............................................................................................................... 94

CHAPTER 4
Progress in Implementation of the Moh Strategic Plan Outputs for Fy 2023/24................................95
4.1 Summary of Performance for the MoH Outputs for FY 2023/24 ................................................................ 95
4.2 Progress in Implementation of the Health Sector Projects.........................................................................122

ANNEX
5.1 National League Table FY 2023/24.................................................................................................................124
5.2 General Hospital Performance Against APGs & DRGs in FY 2023/24 .......................................................129
5.3 General Hospital Performance for Quality in FY 2023/24 ...........................................................................135
5.4 HC IV Performance FY 2023/24 against APGs and DRGs in FY 2023/24.....................................................141
5.5 HC IV Functionality based on Provision of CeMNOC in FY 2023/24 ..........................................................149

MINISTRY OF HEALTH iii

LIST OF TABLES
TABLE 1: POPULATION PROJECTIONS FOR FY 2023/24................................................................................................ 4
TABLE 2: SUMMARY OF PERFORMANCE AGAINST THE NDP III KEY RESULT AREAS IN FY 2023/24......................... 7
TABLE 3: TRENDS IN THE HFQAP MODULAR SCORES ................................................................................................12
TABLE 4: PERFORMANCE AGAINST THE 32 KEY RESULT AREAS SHOWING TRENDS FOR THE LAST 4 FYS.............13
TABLE 5: HEALTH FACILITIES BY LEVEL AND OWNERSHIP IN FY 2023/24..................................................................16
TABLE 6: TRENDS IN OPD ATTENDANCES BY AGE GROUP..........................................................................................16
TABLE 7: OPD ATTENDANCES BY HEALTH FACILITY LEVEL AND OWNERSHIP IN FY 2023/24...................................17
TABLE 8: TRENDS IN OPD ATTENDANCES BY HEALTH FACILITY LEVEL......................................................................17
TABLE 9: CHANGE IN THE NUMBER OF CONDITIONS LEADING TO THE TOP CAUSES OF OPD ATTENDANCE .......18
TABLE 10: MALARIA INCIDENCE AND DEATHS BY REGION IN FY 2023/24.................................................................18
TABLE 11: TOP 20 DISEASE CONDITIONS AMONG OPD ATTENDANCES ................................................................... 20
TABLE 12: CAUSES OF INJURIES AMONG OPD ATTENDANCES IN FY 2023/24.......................................................... 21
TABLE 13: NUMBER AND RATE PER 100,000 POPULATION OF RTIS BY REGION...................................................... 22
TABLE 14: STATUS OF EMERGENCY MEDICAL SERVICES IN THE COUNTRY DURING FY 2023/24........................... 23
TABLE 15: MENTAL HEALTH CONDITIONS AMONG OPD ATTENDANCES BY AGE GROUP IN FY 2023/24................ 24
TABLE 16: MENTAL HEALTH CONDITIONS AMONG OPD ATTENDANCES.................................................................. 25
TABLE 17: INPATIENT ADMISSION BY AGE GROUP...................................................................................................... 27
TABLE 18: NUMBER OF INPATIENT ADMISSIONS BY LEVEL OF CARE....................................................................... 27
TABLE 19: INPATIENT ADMISSIONS BY HEALTH FACILITY LEVEL AND OWNERSHIP IN FY 2023/24......................... 27
TABLE 20: TRENDS IN PATIENT ADMISSION RATES PER 1,000 POPULATION BY REGION........................................ 28
TABLE 21: LEADING CAUSES OF ADMISSIONS IN FY 2023/24.................................................................................... 29
TABLE 22: TRENDS IN THE NUMBER OF INPATIENT DEATHS BY LEVEL..................................................................... 29
TABLE 23: LEADING CAUSES OF DEATH IN FY 2023/24............................................................................................... 30
TABLE 24: DEATHS DUE TO INJURIES........................................................................................................................... 31
TABLE 25: SUMMARY OF PERFORMANCE AGAINST THE KEY HEALTH OUTCOME INDICATORS............................. 31
TABLE 26: PERFORMANCE AGAINST THE KEY OUTCOME INDICATORS..................................................................... 32
TABLE 27: PMTCT PERFORMANCE FOR SELECTED INDICATORS.............................................................................. 39
TABLE 28: QUARTERLY ART COVERAGE FY 2023/24 (BASED ON SPECTRUM ESTIMATES)....................................... 41
TABLE 29: TOP AND BOTTOM TEN RANKING LGS IN ART RETENTION FY 2023/24.................................................... 41
TABLE 30: TOP AND BOTTOM 5 RANKING LG IN VL SUPPRESSION RATES FY 2023/24............................................. 42
TABLE 31: TB TREATMENT SUCCESS RATE FOR ALL DS-TB CASES, FY2023/24......................................................... 45
TABLE 32: DR-TB TREATMENT COVERAGE, FY2023/24................................................................................................ 46
TABLE 33: DR-TB TREATMENT OUTCOMES.................................................................................................................. 47
TABLE 34: NUMBER OF NEW LEPROSY CASES BY REGION........................................................................................ 48
TABLE 35: DISTRIBUTION OF CONFIRMED PUBLIC HEALTH EMERGENCY EVENTS IN UGANDA BY MONTHS....... 50
TABLE 36: HEPB TESTING AND TREATMENT IN ADULT POPULATION......................................................................... 51
TABLE 37: IPTP3 COVERAGE FOR TOP 10 AND BOTTOM 10 LGS.................................................................................. 55
TABLE 38: TRENDS IN HEALTH FACILITY DELIVERIES BY HEALTH FACILITY LEVEL.................................................... 57
TABLE 39: HC IVS NOT CONDUCTING CAESAREAN SECTIONS................................................................................... 58
TABLE 40: HC IVS WITH THE HIGHEST NUMBER OF C/S IN FY 2023/24...................................................................... 59
TABLE 41: HC IVS WITH THE HIGHEST C/S RATE IN FY 2023/24................................................................................... 60

iv ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

TABLE 42: NUMBER AND PROPORTION OF MATERNAL DEATHS REPORTED BY LEVEL OF HEALTH FACILITY...... 60
TABLE 43: NUMBER OF DELIVERIES, MATERNAL DEATHS AND IMMR BY REGION................................................. 61
TABLE 44: RATE OF PERINATAL DEATHS BY TYPE AND REGION IN FY 2023/24......................................................... 62
TABLE 45: IMMR, MATERNAL DEATH NOTIFICATION AND REVIEWS BY REGION..................................................... 64
TABLE 46: PROPORTION OF REVIEWED PERINATAL DEATH NOTIFICATIONS AND REVIEW BY REGION................. 65
TABLE 47: AVAILABILITY FOR THE 41 COMMODITIES AT HEALTH FACILITIES IN FY 2023/24.................................... 66
TABLE 48: PUBLIC HEALTH FACILITY CREDIT LINE BUDGET ALLOCATIONS.............................................................. 68
TABLE 49: EXPENDITURE IN UGX FOR EMHS AT JMS BY LEVEL OF CARE................................................................ 69
TABLE 50: ANNUAL EXPENDITURE IN UGX FOR EMHS AT JMS BY AFFILIATION....................................................... 69
TABLE 51: APPROPRIATED BUDGET ALLOCATIONS FOR THE HEALTH SECTOR DURING THE PERIOD
UNDER REVIEW............................................................................................................................................................ 70
TABLE 52: GROWTH TRENDS IN BUDGET ALLOCATIONS TO THE HEALTH SECTOR OVER THE LAST 8 YEARS........ 71
TABLE 53: HEALTH SECTOR BUDGET PERFORMANCE FOR FY 2023/24 BY BUDGET CATEGORY IN
UGX. BILLIONS............................................................................................................................................................. 72
TABLE 54: PERFORMANCE BY VOTE UNDER HEALTH SUB-PROGRAM IN FY 2023/24............................................... 72
TABLE 55: BUDGET PERFORMANCE OF EXTERNALLY FUNDED PROJECTS IN THE HEALTH SECTOR..................... 73
TABLE 56: DLT RANKING FOR FY 2023/24..................................................................................................................... 77
TABLE 57: REGIONAL LEAGUE TABLE RANKING.......................................................................................................... 79
TABLE 58: REGIONAL LEAGUE TABLE DASHBOARD FY 2023/24................................................................................. 81
TABLE 59: APG CONTRIBUTION BY LEVEL OF CARE AND OWNERSHIP..................................................................... 83
TABLE 60: DRG CONTRIBUTION BY LEVEL OF CARE AND OWNERSHIP.................................................................... 83
TABLE 61: APG & DRGS SCORES FOR NATIONAL REFERRAL AND SPECIALISED HOSPITALS FY 2023/24.............. 83
TABLE 62: SERVICE QUALITY ASSESSMENT FOR NATIONAL REFERRAL AND SPECIALISED HOSPITALS
FY 2023/24.................................................................................................................................................................... 84
TABLE 63: BOR AND ALOS FOR NATIONAL REFERRAL AND SPECIALISED HOSPITALS IN FY 2023/24.................... 84
TABLE 64: HOSPITAL LEAGUE TABLE - RRH & LARGE PNFP........................................................................................ 85
TABLE 65: HIGHEST AND LOWEST RANKED GENERAL HOSPITALS............................................................................ 87
TABLE 66: GENERAL HOSPITALS WITH THE HIGHEST IMMR...................................................................................... 88
TABLE 67: HIGHEST AND LOWEST RANKED HC IVS.................................................................................................... 89
TABLE 68: OUTPUTS FROM LOWER LEVEL HEALTH FACILITIES................................................................................. 90
TABLE 69: NUMBER OF VHTS TRAINED AND TOOLED BY LG....................................................................................... 91
TABLE 70: CHEWS TRAINING ROADMAP FOR 17 LGS.................................................................................................. 92
TABLE 71: COMMUNITY DASHBOARD ......................................................................................................................... 94
TABLE 72: SUMMARY OF PROGRESS FOR PLANNED OUTPUTS FOR FY 2023/24..................................................... 96
TABLE 73: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 1 OF THE MOH STRATEGIC PLAN.......... 97
TABLE 74: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 2 OF THE MOH STRATEGIC PLAN......... 101
TABLE 75: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 3 OF THE MOH STRATEGIC PLAN.........103
TABLE 76: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 4 OF THE MOH STRATEGIC PLAN......... 113
TABLE 77: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 5 OF THE MOH STRATEGIC PLAN......... 116
TABLE 78: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 6 OF THE MOH STRATEGIC PLAN......... 119
TABLE 79: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 7 OF THE MOH STRATEGIC PLAN.........120

MINISTRY OF HEALTH v
LIST OF FIGURES

FIGURE 1: LIFE EXPECTANCY AT BIRTH BY CENSUS YEARS ........................................................................................ 6

FIGURE 2: MAP SHOWING LIFE EXPECTANCY AT BIRTH BY SUB-REGION................................................................... 6
FIGURE 3: TOTAL FERTILITY RATE IN UGANDA 1969 – 2024........................................................................................... 8
FIGURE 4: AGE SPECIFIC FERTILITY RATE BY CENSUS YEARS....................................................................................... 9
FIGURE 5: MAP SHOWING TFR BY SUB-REGIONS.......................................................................................................... 9
FIGURE 6: ADOLESCENT BIRTH RATE PER 1,000 WOMEN............................................................................................ 9
FIGURE 7: TRENDS FOR COUPLE YEARS OF PROTECTION (CYP) ...............................................................................10
FIGURE 8 : FP METHOD MIX............................................................................................................................................11
FIGURE 9: A MAP SHOWING HEALTH INSURANCE COVERAGE BY REGION................................................................11
FIGURE 10:REGIONAL VARIATION IN THE INCIDENCE OF MALARIA IN THE LAST TWO FINANCIAL YEARS..............18
FIGURE 11: TREND FOR RTIS SEEN AT HEALTH FACILITIES......................................................................................... 21
FIGURE 12: TRENDS IN REGIONAL VARIATIONS OF RTIS RATES PER 100,000 POPULATION.................................... 22
FIGURE 13: TREND OF EMERGENCY PATIENTS WHO ARRIVED AT HEALTH FACILITY IN AN AMBULANCE.............. 24
FIGURE 14: REGIONAL TREND OF EMERGENCY PATIENTS WHO ARRIVED AT HEALTH FACILITY IN AN
AMBULANCE................................................................................................................................................................ 24
FIGURE 15: REGIONAL VARIATIONS FOR OPD ATTENDANCE DUE TO EPILEPSY........................................................ 26
FIGURE 16: TRENDS IN INPATIENT ADMISSIONS ......................................................................................................... 26
FIGURE 17: TRENDS IN INPATIENT ADMISSIONS PER 1,000 POPULATION BY REGION............................................. 28
FIGURE 18: MAP SHOWING DPT3 COVERAGE BY LGS IN FY 23/24.............................................................................. 34
FIGURE 19: MR1 COVERAGE FY 2023/24....................................................................................................................... 35
FIGURE 20: MEASLES OUTBREAK DISTRICTS FY 2023/24............................................................................................ 36
FIGURE 21: TRENDS IN ITN OWNERSHIP (% HOUSEHOLDS OWNING AT LEAST ONE ITN) ...................................... 37
FIGURE 22: TRENDS IN ITN ACCESS AND USE.............................................................................................................. 37
FIGURE 23: ITN USE BY POPULATION GROUP............................................................................................................... 37
FIGURE 24: ITN USE BY CHILDREN UNDER 5 BY REGION............................................................................................ 38
FIGURE 25: ITN USE BY PREGNANT WOMEN BY REGION............................................................................................ 38
FIGURE 26: MATERNAL ART COVERAGE FOR EMTCT BY REGION (JUL 23 TO JUNE 24)............................................ 39
FIGURE 27: REGIONAL COVERAGE OF 1ST DNA PCR COVERAGE WITHIN 2 MONTHS................................................ 40
FIGURE 28: MAP SHOWING HIV EXPOSED INFANTS WITH THE FIRST DNA/PCR TEST WITHIN 2 MONTHS OF AGE
FY 2023/24.................................................................................................................................................................... 40
FIGURE 29: ART COVERAGE BY REGION IN FY 2023/24 (BASED OF NAOMI 2023 ESTIMATES)................................. 41
FIGURE 30: ART RETENTION RATE AT 12 MONTHS BY REGION IN FY 2023/24........................................................... 42
FIGURE 31: VIRAL LOAD SUPPRESSION RATES BY REGION IN FY 2023/24................................................................ 42
FIGURE 32: LOCAL GOVERNMENTS VL SUPPRESSION RATES.................................................................................... 43
FIGURE 33: MAP SHOWING TB CASE NOTIFICATION RATE BY LG IN FY 2023/24....................................................... 43
FIGURE 34: DISTRIBUTION OF PHES ACROSS UGANDA FY 2023/2024........................................................................ 49
FIGURE 35: FREQUENCY FOR CONFIRMED EVENTS (N = 67)...................................................................................... 49
FIGURE 36: MAP SHOWING WEEKLY SURVEILLANCE REPORTING RATES BY LGS IN FY 2023/24............................ 50
FIGURE 37: % OF WOMEN AGED 15 – 49 WHO WERE EVER EXAMINED BY A HEALTH WORKER FOR CERVICAL
CANCER........................................................................................................................................................................ 53
FIGURE 38: % OF WOMEN AGED 15 – 49 WHO WERE EVER EXAMINED BY A HEALTH WORKER FOR
BREAST CANCER.......................................................................................................................................................... 53

vi ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

FIGURE 39: MAP SHOWING IPTP3 COVERAGE BY LG IN FY 2023/24........................................................................... 54
FIGURE 40: REGIONAL VARIATION IN THE COVERAGE OF IPTP3 IN THE LAST TWO FY.............................................. 54
FIGURE 41: TRENDS IN IPTP3+........................................................................................................................................ 55
FIGURE 42: TRENDS IN EARLY ANC ATTENDANCE & 4TH ANC VISITS......................................................................... 56
FIGURE 43: MAP SHOWING ANC4 VISIT COVERAGE BY LG IN FY 2023/24.................................................................. 56
FIGURE 44: MAP SHOWING THE % OF HEALTH FACILITY DELIVERIES BY LG IN FY 2023/24..................................... 57
FIGURE 45: TRENDS FOR HC IV’S PERFORMING C/S AND THOSE PROVIDING BLOOD TRANSFUSION
SERVICES...................................................................................................................................................................... 57
FIGURE 46: TRENDS IN HC IV’S PERFORMING C/S AND CEMNOC BY SUB-SECTOR.................................................. 58
FIGURE 47: IMMR BY HEALTH FACILITY LEVEL............................................................................................................. 61
FIGURE 48: CAUSES OF MATERNAL DEATHS – FY 2021/22 TO FY 2023/24................................................................. 62
FIGURE 49: NATIONAL TRENDS IN INSTITUTIONAL MATERNAL DEATHS REPORTED, NOTIFICATIONS AND
REVIEW RATES............................................................................................................................................................. 63
FIGURE 50: MAP SHOWING THE % OF MATERNAL DEATHS REVIEWED BY LG IN FY 2023/24................................ 63
FIGURE 51: MAP SHOWING THE PROPORTION OF PERINATAL DEATHS REVIEWED BY LG IN FY 2023/24.............. 64
FIGURE 52: TRENDS IN THE LEADING CAUSES OF NEONATAL DEATHS IN UGANDA................................................. 65
FIGURE 53: PREGNANT/LACTATING MOTHER RECEIVED IRON& FOLIC ACID SUPPLEMENTATION BY REGION...... 66
FIGURE 54: AVERAGE AVAILABILITY OF A BASKET OF 41 COMMODITIES PER QUARTER IN FY 2023/24................. 67
FIGURE 55: MAP SHOWING AVERAGE AVAILABILITY OF A BASKET OF 41 COMMODITIES BY LG IN FY 2023/24.... 67
FIGURE 56: MONTHLY MEDICINE STOCK STATUS REPORTING RATES AND COMPLETENESS OF REPORTING
IN FY 2023/24................................................................................................................................................................ 68
FIGURE 57: HEALTH EXPENDITURE SHARES IN UGANDA............................................................................................ 70
FIGURE 58: BUDGET ALLOCATION TRENDS IN HEALTH BY FUNDING SOURCE......................................................... 71
FIGURE 59: TRENDS IN FUNCTIONALITY OF HC IVS..................................................................................................... 90
FIGURE 60: CASES IDENTIFIED IN THE COMMUNITY................................................................................................... 93

MINISTRY OF HEALTH vii

Acronyms
AHSPR Annual Health Sector Performance Report
ALOS Average Length of Stay
ANC Ante Natal Care
APG Ambulatory Patient Group
ART Anti-retroviral Therapy
ARVs Antiretroviral Drugs
BOR Bed Occupancy Rate
CAST Community Awareness Screening and Testing
CEmONC Comprehensive Emergency Obstetric and Neonatal Care
CSO Civil Society Organization
CHEW Community Health Extension Worker
DHIS District Health Information System
DPTHibHeb Diphtheria, Pertussis, Tetanus, Haemophilus Influenza and Hepatitis B
DRG Diagnostic Related Group
EMHS Essential Medicines and Health Supplies
FP Family Planning
FY Financial Year
GAVI Global Alliance for vaccines and Immunization
GBV Gender Based Violence
GFTAM Global Fund to fight TB, Aids and Malaria
GH General Hospital
GoU Government of Uganda
HC Health Centre
HCDP Human Capital Development Programme
HDP Health Development Partners
HMIS Health Management Information System
HPAC Health Policy Advisory Committee
HPV Human Papilloma Virus
HRH Human Resources for Health
IDSR Integrated Disease Surveillance and Response
iCCM Integrated Community Case Management
iHRIS Integrated Human Resource Information System
IMAM Integrated Management of Acute Malnutrition
IMMR Institutional Maternal Mortality Rate
IMR Infant Mortality Rate
IP Implementing Partner
IPMR Institutional Perinatal Mortality Rate

viii ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

 IPT Intermittent Preventive Treatment for malaria
IRS Indoor Residual Spraying
ITN Insecticide Treated Net
JMS Joint Medical Stores
JRM Joint Review Mission
KCCA Kampala City Council Authority
KRA Key Result Area
LG Local Government
LLIN Long Lasting Insecticide Treated Net
LT League Table
MoFPED Ministry of Finance, Planning and Economic Development
MoH Ministry of Health
MoPS Ministry of Public Service
MPDSR Maternal Perinatal Death Surveillance & Review
MTEF Medium Term Expenditure Framework
NCD Non-Communicable Diseases
NMS National Medical Stores
NRH National Referral Hospital
NTDs Neglected Tropical Diseases
OPD Out Patients Department
PHC Primary Health Care
PHP Private Health Providers
PMTCT Prevention of Mother-to-Child Transmission of HIV
PNFP Private Not for Profit
PPH Post-Partum Haemorrhage
RMNCAH Reproductive Maternal Neonatal Child and Adolescent Health
RRH Regional Referral Hospital
RTI Road Traffic Injury
SMC Senior Management Committee
TB Tuberculosis
THE Total Health Expenditure
TWG Technical Working Group
UBOS Uganda Bureau of Statistics
UDHS Uganda Demographic Health Survey
UHC Universal Health Coverage
UNICEF United Nations Children’s Fund
UVRI Uganda Virus Research Institute
VHT Village Health Team
VLS Viral Load Suppression
WHO World Health Organization

MINISTRY OF HEALTH ix
Foreword
Annual Health Sector Performance Reports are compiled in line with
the national and health sub-programme M&E frameworks which
promote joint program monitoring and evaluation and reviews.
The Annual Health Sector Performance Report for FY 2023/24 is
the fourth report during the NDP III period. The report compilation
process is joint involving all key stakeholders and will be presented
and discussed at the 30th Joint Review Mission in October 2024.

On behalf of the Ministry of Health I would like to sincerely appre-

ciate the contributions of the various Ministries, Departments
and Agencies, Health Development Partners, the Civil Society
Organizations, Religious Organizations, Cultural Leaders, the Private
Sector and the Community in implementation of the National Health
Strategy as elaborated in the Human Capital Development Program
Implementation Action Plan under the NDP III and related health
institutions strategic plans. The Uganda Demographic Health Survey
2022 findings show that we are making remarkable progress towards
reducing maternal and child morbidity and mortality, however,

“
we are having emerging challenges like the growing burden of
Non-Communicable Diseases and injuries. I, therefore, urge all
stakeholders in the health and non-health sectors to embrace and
I commend all
strengthen the existing partnerships, multi-sectoral collaboration
health workers and coordination mechanisms and continue supporting the health
in Uganda from sector on our journey to Universal Health Coverage.
the public and I commend all health workers in Uganda from the public and private
private sector sector for the resilience and commitment towards delivery of quality
for the resilience health services amidst all the health system challenges and recur-
ring Public Health Emergencies.
and commitment
towards delivery The Ministry of Health will continue providing the necessary stra-
tegic direction and advocating for increased Government of Uganda
of quality health
health spending to reduce out of pocket health expenditure and the
services amidst resultant catastrophic health expenditure.
all the health
This report provides evidence-based data and therefore should be
system challenges widely disseminated and utilized for policy dialogue, advocacy, plan-
and recurring ning, operational research, resource mobilization and allocation to
Public Health the health sector..

Emergencies. For God and My Country

Hon. Dr. Jane Ruth Aceng Ocero

MINISTER OF HEALTH

x ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

Acknowledgement
In line with statutory requirements, Government reviews the annual
performance of the health sector to assess progress on agreed
outputs, performance of the health sector and come up with strat-
egies and recommendations on how to improve health care service
delivery.

The annual Health Sector Performance Report for Financial Year

2023/24 provides progress of the overall health sector performance
against the NDP III Key Result Areas as well as the MoH Strategic
and operational plans.

Sector performance cannot be improved and sustained without the

dedicated efforts of all categories of health workers, working under
sometimes challenging conditions, especially in the rural and hard-
to-reach areas of the Country. I commend the dedicated and produc-
tive health workers, and I implore those health workers whose work
ethic, behaviour and conduct hold back the sector progress, to
improve.

“
I wish to thank the Health Policy Advisory Committee members for
always giving policy guidance to the sector and for their contribution
in the compilation of this report and preparation of the Joint Review I wish to thank
Mission. the Health
Special gratitude goes to the Ministry of Health Planning, Financing
Policy Advisory
and Policy Department for the technical leadership, the JRM Task Committee
Force and Secretariat that ensured that this annual report was members for
compiled in time. I would also like to thank the Clinton Health
Access Initiative (CHAI) for the support during the report compila-
always giving
tion workshop. policy guidance to
the sector and for
their contribution
in the compilation
of this report and
Dr. Diana Atwiine
preparation of
PERMANENT SECRETARY
the Joint Review
Mission.

MINISTRY OF HEALTH xi
Executive Summary

© UNICEF/UN0563589/Abdul

This Annual Health Sector Performance Report for Financial Year (FY) 2023/24 is the fourth in the National
Development Plan (NDP) III period and it mainly focuses on the progress in implementation of the respec-
tive institutional 5-year Strategic Plans and Ministerial Policy Statement sub-programme priorities for FY
2023/24. The report will be presented and discussed by all stakeholders during the 30th Health Sector
Joint Review Mission (JRM) in October 2024. The report and JRM recommendations captured in the Aide
Memoire will guide planning, programming and budget allocation for the next FY 2025/26.

The Human Capital Development Plan (HCDP) goal is to improve productivity of labour for increased
competitiveness and better quality of life for all. The health sector contributes mainly to Objective 4 of the
HCDP which is to “Improve population health, safety and management”, and the KRAs are increased life
expectancy, reduced neonatal, infant, under 5 and maternal mortality, and reduced fertility rate. The vision
of Uganda’s health sector is “A healthy and productive population that contributes to economic growth and
national development”.

The projected population for the year under review was 47,438,078 including 1,702,278 known refugees.

The report has 6 sections namely, 1) Introduction giving the background and strategic direction; 2) Overall
sector performance and progress based on the NDP III Key Result Areas (KRAs) and Outcomes; 3) Local
Government and Health Facility Performance; 4) Progress in implementation of the MoH Strategic Plan
Outputs; and 5) Annex.

xii ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

NDP III KEY RESULT AREAS
MATERNAL
At goal level life expectancy at birth has increased from 63.7 years MORTALITY
in 2014 to 68.2 years in 2024 barely short of the NDP III target for RATIO
the year of 68.7 years. This is attributed to improvement in childhood
mortality rates as they core in determining the life expectancies at
44%
FROM 336/100,000 TO
birth, as well as increased effectiveness of other health and welfare 189/100,000 LIVE BIRTHS.

interventions.

The health sector contributes directly to 6 KRAs under the NDP III. The NEONATAL
assessment was based on 29 indicators, of which the sector achieved MORTALITY
targets for 14 (48.3%), made some progress in 8 (27.6%) and did not 18.5%
achieve 7 (24.1%). Three of the indicators were not assessed due to FROM 27/1,000 TO
22/1,000 LIVE BIRTHS.
lack of data sources.

Based on the Health Professional Councils registries, the planned UNDER-FIVE INFANT
MORTALITY MORTALITY
target of number of health workers (doctors, midwives, nurses) per
10,000 population was met however, we are not able to determine 18.5% 16.3%
the population access. There is need to institutionalize the National
Health Workforce Accounts to track the entire health workforce in the
MALARIA
country. Staffing level in the public health facilities was 34% based on
INCIDENCE
the new human resource structure.

The number of new HIV infections per 1,000 susceptible population

39%
FROM 375 PER 1,000 POPULATION IN 2022/23
TO 230 PER 1,000 POPULATION IN 2023/24
is 1.23 which is below the projected 2.5 which is an indication of
effective interventions though the level of comprehensive knowledge
of HIV prevention methods is still low at 56% for men and 54% for
women 15 – 24 years.

Maternal mortality ratio reduced by 44% from 336/100,000 live births

in 2016 to 189/100,000 live births. Under-five mortality rate reduced
by 18.5% from 64/1,000 in 2016 to 52/1,000 live births in 2022 which
is still far from the NDP III target for the year of 33/1,000; and infant THE TB INCIDENCE RATE
mortality rate reduced by 16.3% from 43/1,000 in 2016 to 36/1,000 HAS DECLINED SLIGHTLY
FROM 199/100,000 POPULATION
live births in 2022 achieving the NDP III target of 35.6% by 2023/24, IN 2022/23 TO 198/100,000
and neonatal mortality rate also reduced by 18.5% from 27/1,000 to POPULATION IN 2023/24
22/1,000 live births short of the NDP III target of 20/1,000 live births
by 2023/24. (UDHS 2022)
MORTALITY DUE TO
COMMUNICABLE
The TB incidence rate has declined slightly from 199/100,000 popu- DISEASES REDUCED BY
lation in 2022/23 to 198/100,000 population in 2023/24 and this
is attributed to intensified case finding during the accelerated TB
Community Awareness Screening and Testing (CAST) campaigns and
40.4%
improved diagnostics. There is a 39% reduction in the malaria inci-
dence from 375 per 1,000 population in 2022/23 to 230 per 1,000
population in 2023/24 which is still above target of 170 per 1,000 for
the year under review. The MoH carried out malaria prevention and
23.5%
ADULTS 18 – 69 YEARS
control interventions such as IRS in West Nile, and Bukedi regions, HAVE HYPERTENSION
seasonal malaria chemoprophylaxis in Karamoja sub-region and LLINs
What is of major concern is that
mass distribution. The proportion of mortality due to communicable 84.3% of population with raised blood
diseases (Malaria, AIDS and TB) has reduced by 57.2% in 2020/21 to pressure are not on medication for
50.8% in 2022/23 and 40.4% in 2023/24. raised blood pressure.

MINISTRY OF HEALTH xiii

 According to the Global Health Statistics report 2023, mortality rate
THE PROPORTION OF THE attributed to unsafe water, sanitation and lack of hygiene (WASH) has
POPULATION 18-69 YEARS WITH reduced from 54 per 100,000 population to 28.1 per 100,000 popula-
DIABETES tion. This is a result of the improved sanitation coverage from 19% in

3.3%
2019/20 to 44% by 2024 (Census Report 2024), and improved hand-
washing facilities from 34% in 2019/20 to 47% in 2024 (Census Report
2024).
MORTALITY ALCOHOL
ATTRIBUTED ABUSE Up to 23.5% of adults 18 – 69 years have hypertension (SBP > 140
TO INJURIES RATE and/or DBP > 90 mmHg) with no significant variation between males
6% 4.4% (23.4%) and females (23.5%). What is of major concern is that 84.3%
of population with raised blood pressure are not on medication for
raised blood pressure. The proportion of the population 18 – 69 years
STUNTING with diabetes has increased from 2.5% in 2019/20 to 3.3% in 2023
AMONG CHILDREN
UNDER 5 REDUCED BY (males 2.6% and females 3.9%). (STEPS 2023) Mortality attributed to
injuries increased from 4.5% in 2022/23 to 6% in 2023/24 and still
10% below the annual target of 9%. Alcohol abuse rate has increased from
3.4% (STEPS 2014) to 4.4%. (STEPS 2023). 5% of respondents experi-
enced family/partner problems due to someone else’s drinking. (STEPS
THERE WAS A DECLINE IN 2023).
WASTING
AMONG CHILDREN UNDER 5 In respect to nutrition, stunting in children under five reduced by 10%

27.5% from 29% in 2016 to 26% (male, 22.9% and females, 29.2%) in 2022,
and there was 27.5% decline in wasting among children under five
from 4% in 2016 to 2.9% in 2022 (urban 2.1%, rural 3.2%). Prevalence
of obesity is highest among women has increased from 7.5% in 2014
OBESITY (STEPS 2014) to 12.3% (STEPS 2023) and from 1.8% (STEPS 2014)
PREVALENCE OF OBESITY IS
HIGHEST AMONG WOMEN to 6.2% among men (STEPS 2023), and children under 5 years 3.4%
(UDHS 2022).
WOMEN MEN
12.3% 6.2% There is minimal reduction in the prevalence of teenage pregnancy
from 25% in 2016 to 24% in 2022 (urban 21% and rural 25%). The
CHILDREN UNDER 5
adolescent birth rate has increased from 111/1,000 women aged 15 –
3.4% 19 years in 2020 to 128/1,000 in 2022.

The Total Fertility Rate (TFR) has declined from 5.8 (Census 2014) to
TEENAGE 5.4 (UDHS 2016) to 5.2 (UDHS, 2022) and 4.5 (UBOS, Census Report
PREGNANCY 2024) achieving the NDP III target of 4.5 by 2024/25. Adolescent birth
24% rate among women 10 – 19 years has reduced significantly from the
128 per 1,000 (WHS 2022) to 31 per 1,000 women in that age group.
IN 2022 (URBAN 21%
AND RURAL 25%). 61 per 1,000 women aged 15-19 years give birth annually compared to
1 per 1,000 women among those aged 10-14 years. (UBOS, Census
Report 2024) The percentage of women 15 – 49 years who are currently
DPT3 COVERAGE using any modern contraceptive method increased by only 5.7% from
INCREASED BY
9% 35% to 37% far below the target of 50% by 2025. The country has
made some progress towards reducing unmet need for family plan-
ning for all women and whereas there was a reduction from 20.8% to
ZERO DOSE MR1 20.5% in 2023/24, this progress was not significant to make us achieve
CHILDREN COVERAGE
the annual target of 14%. The estimated number of total women using
5% 94% a modern method of contraception has grown to 4,208,000 users
from 4,132,00 in the previous year. This has translated into 1,571,000

xiv ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

unintended pregnancies being prevented, over 390,000 unsafe abor-
tions averted, and 3,500 maternal deaths averted. THE PROPORTION OF HIV POSITIVE
PREGNANT WOMEN INITIATED ON
ARVS FOR EMTCT
Health insurance coverage in Uganda is still very low. According to
INCREASED TO
UDHS 2022, only 1% of women and men aged 15 – 49 years had
heard of health insurance and were insured. This is the same as the 95%
Census 2024 finding of 1% health insurance coverage (Males 1.1%
and females 1%.
THE PROPORTION OF HIV EXPOSED
INFANTS WITH THE
KEY HEALTH OUTCOME INDICATORS FIRST DNA/PCR TEST
WITHIN 2 MONTHS
Out of the 27, the sector achieved 40.8% (11/27) compared to 42% OF AGE INCREASED TO

91%
(11/26) in FY 2022/23; made some progress though did not achieve
the annual target for 25.9% (7/27) compared to 4% (1/26) the previous
year; minimal, no progress or decline in 33.3% (9/27) compared to
54% (14/26) in FY 2022/23. This shows improved performance over
the last year.

DPT3 coverage increased by 9% from 87% in FY 2022/23 to 92%

(1,871,756/2,045,203). 50% of the LGs had DPT3 coverage of less
than 90% based on the WHO recommendation and these should be
23%
FEMALE RESPONDENTS AGED 30-49
YEARS HAD EVER BEEN SCREENED FOR
targeted for defaulter tracking with catch-up vaccination. Zero Dose
children declined slightly to 5% (102,260) during the FY 2023/2024 CERVICAL CANCER
compared to 6% (138,434) during FY 2022/2023. Measles Rubella
first does (MR1) coverage increased from 88% (1,722,982/1,969,033) ANC 4TH VISIT
in FY 22/23 to 94% (1,927,993/2,045,203) in FY 2023/24. However, COVERAGE
the coverage is still very low at 41% implying that many children have INCREASED BY
not completed their full vaccination doses.
6.3%
The UDHS 2022 findings showed that all (99.9%) households surveyed
own at least once insecticide treated net (ITN). By end of the FY,
government had distributed a total of 27.8 million nets throughout the MATERNAL DEATHS
country. A total 10 million households were reached with a household AMONG 100,000 HEALTH
coverage of 91% (10,976,458/12,040,171) achieved. In households FACILITY DELIVERIES
REDUCED BY
with at least one ITN, 62% of the de facto population slept under
an ITN the night before the survey. The behavioral gap between ITN
access and use has sharply increased from 13% in 2018-19 to 37% in
8.4%
2022. There is need to intensified BCC on ITN use as one of the key
interventions for malaria reduction. FACILITY
BASED FRESH
The proportion of HIV positive pregnant women initiated on ARVs for STILL BIRTHS
EMTCT increased from 94% in FY 2022/23 to 95% in the review period HAVE REDUCED BY
achieving the target. The proportion of HIV exposed infants with the
first DNA/PCR test within 2 months of age increased from 88% in FY 11%
2021/22 to 91% in FY 2022/23 however there is a decline to 81% in
FY 2023/24 due to low retention rates of mother-baby pair on ART and
VITAMIN A
loss to follow-up. Bugisu, Busoga, Acholi and Karamoja regions have
SECOND DOSE COVERAGE
the lowest coverage of 1st DNA/PCR test within 2 months of age. DECLINED FROM
ART Coverage for all ages declined from 98% to 96.8% 70% TO 47%
(1,444,813/1,492,410) April to June 2024 though still above the target of
95%. This performance is attributed to the continued implementation

MINISTRY OF HEALTH xv
of the test and start policy; efficient methods of service delivery like Differentiated Service Delivery models;
and availability of ARVs in both the public and private health facilities. There is also strengthened patient
literacy, improved linkage and retention. ART retention rate at 12 months increased by 5.3% from 77% in
FY 2022/23 to 82.3% by Q4 FY 2023/24. Lowest in South Central (79%), West Nile (79%), Bunyoro (79%),
Kampala (76%) and Karamoja (75%). ART Viral Load Suppression Rate among all PLHAs on treatment has
improved from 94.1% in FY 2022/23 to 96% in FY 2023/24. Viral suppression was lower among children
0-9 years (87%), adolescents 10-19 years (89%); and males (92%).

TB Case Notification Rate decreased from 212 per 100,000 population to 198 per 100,000 in FY 2023/24,
though it was still above the estimated target of 171 per 100,000 population. This is a positive develop-
ment through the ongoing under the TB CAST+ Campaign and community TB screening using Mobile TB
Clinics and Portable X-rays with CAD to increase case finding and curtail the community transmission of
TB. Moroto district has the highest notification rate of 771 cases per 100,000 population above the national
average. There is improvement in the treatment success rate from 89.5% in FY 2022/23 to 91.3% in FY
2023/24, above the national target of >90%. The DR TB treatment coverage has also been on an upward
trend, with 64% (748) treatment coverage in FY 2023/24. Equally, the TSR for the completed DRTB cohort
2021 improved to 89% compared to 88% for the completed cohort 2020 patients.

The proportion of leprosy patients presenting to health facilities with Grade 2 disability at the time of diag-
nosis reduced by 4.5% from 19% in 2022/23 to 10.5% in FY 2023/2024. The treatment success rate also
increased from 76.8% in FY 2022/23 to 89% in FY 2023/24. Over the last 4 FYs, the West Nile region has
reported the highest number of new leprosy cases, with over 79% (244) of the cases in FY 2023/24 largely
among the refugee population.

During this reporting period all the four zoonotic diseases detected were managed timely - Congo Crimean
Hemorrhagic Fever, Rift Valley Fever, Anthrax and Rabies. Several other public health emergency incidents
and disease outbreaks were responded to, and these included Yellow Fever, Conjunctivitis (Red Eyes),
Measles, Rabies and Cholera. There was also food poisoning in Mukono, Luwero & Jinja districts, floods/
mudslides in Rwenzori and Bugisu/Bukedi regions.

96% (49 out of the 51) target districts achieved elimination by FY 2023/24. MoH is still carrying out mass
treatments and surveys for trachoma in Moroto and Amudat.

Hepatitis B vaccination at birth was introduced into the routine immunization program in October 2022.
During the FY2023/2024, Hepatitis B Birth dose vaccination coverage increased to 36% from 10% in FY
2022/2023.

Tobacco use has declined from 9.6% (16.8% males and 2.9 females) in 2014 to 8.3% (15% males and
2.4% females). (STEPS 2023). This gives a non-smoking rate of 91.7% in Uganda.

During FY 2023/24, HPV1 coverage was at 172% and HPV2 at 74%. The over performance of HPV vacci-
nation is attributed to more girls above 10 years of age reached from cohorts of girls who had missed HPV
during the previous years.

According to the 2023 STEPS survey, 23% of the female respondents aged 30 – 49 years had ever been
screened for cervical cancer compared to 9.9% in 2014. Whereas, among women aged 15–49, 77% have
knowledge of cervical cancer, but only 58% of them have heard of cervical cancer testing. Only 13%
of women aged 15-49 have received cervical cancer screenings. According to UDHS 2022, only 7% of
women aged 15 – 49, have undergone examinations or tests for breast cancer.

The coverage of IPTp3 stagnated at 54% (1,024,771/1,907,369) during FY2023/24 which is below the
target of 77%. Higher coverages were reported in Kigezi (72%) and Ankole (72%) regions while lower
coverages were reported in Bunyoro (45%) and Kampala regions (35%).

xvi ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

Anaemia screening at first prenatal visit stagnated at 23% for the
last 3 FYs and is significantly below the target of 60% for the year. ESSENTIAL
The poor performance is primarily attributed to insufficient laboratory MEDICINES AND
supplies for hemoglobin estimation at all levels. The proportion of preg- HEALTH SUPPLIES
nant women with Hb levels below 11g/dl at first ANC visit increased
slightly from 7.5% to 8.0%. The Proportion of pregnant women *Target 90%
receiving ferrous sulphate/folate supplement on first visit-stagnated
41 TRACER
at 67% in the last two FYs. COMMODITIES 64%

LAB 79%
ANC 4th Visit coverage increased by 6.3%, to 49.1% (1,119,557 out
of 2,278,100 estimated pregnancies) in FY 2023/24 from the 46%. TB 74%
The proportion of pregnant women delivering at health facility deliv-
RMNCAH 67%
eries increased slightly from 64% in FY 2022/23 to 65% (1,478,999/
2,278,100 estimated pregnancies) in FY 2023/24. The proportion of EMHS 58%
HC IVs providing CeMNOC (C/S and blood transfusion) increased by
ARVS 43%
15% to 60% (159/266), and the proportion of HC IVs conducting C/S
increased to 87.2% (232/266) from 86% (218/254) largely because of
overall availability of supplies
increase in number of HC IVs reporting.
for a basket of 41 Commodities
Maternal deaths among 100,000 health facility deliveries reduced by and health supplies at Central
8.4% from 90.3/100,000 in FY 2022/23 to 82.7/10,000 in FY 2023/24. Level Warehouses (NMS and
A total of 1,222 health facility based maternal deaths were reported JMS) also reduced from 82%
(HMIS 105) and of these 95.4% were notified and 94.8% reviewed
in FY 2022/23 to 70% in FY
in FY 2023/24 compared to 94.1% in the previous FY. Among the
2023/24
maternal deaths reviewed, obstetric haemorrhage remains the
leading cause of maternal deaths accounting for 45% of deaths in the
FY 2023/24 followed by hypertensive disorders of pregnancy which
stagnated at 16%.

Facility based fresh still births have reduced by 11% from 6.4 per 1,000 TOTAL HEALTH
deliveries in the previous FY 2022/2023 to 5.7 per 1,000 deliveries EXPENDITURE
in FY 2023/2024. Over the past two years the regions of Kampala,
Bunyoro, and Acholi have had the highest perinatal mortality deaths. HOUSEHOLD
GOVT
Perinatal death reviews increased to 61.3% in FY 2023/24 from 43.1% 29%
25.6%
in FY 2022/23. However, perinatal death notification reduced to 61.3%
from 63.4% in the previous year. Birth asphyxia remains the leading
cause of early neonatal death followed by complications of prematu-
rity and septicaemia over the past 5 years.

Vitamin A second dose coverage declined from 70% to 47%. Some

districts, like Butaleja, Buvuma, and Arua, report very low coverage 45.4%
rates (32- 38%), while others, including Wakiso, Gulu, and Kitgum, DEVT
PARTNERS
show moderate progress (42-44%).

HEALTH SUBPROGRAM
ESSENTIAL MEDICINES AND HEALTH SUPPLIES APPROVED BUDGET
The average availability of a basket of 41 tracer commodities in the UGX 4,052
last quarter of FY 2023/24 was 64% in 4,211 reporting health facilities
(GoU & PNFPs), compared to 58% in FY 2022/23. The Lab basket
TRILLION
had the highest average availability of 79% in the last quarter of FY
UP FROM 3,685 TRILLION
2023/24, followed by TB (74%), RMNCAH (67%) and EMHS (58%).
The 43% availability of the ARVs basket captures the old regimen and

MINISTRY OF HEALTH xvii

 therefore does not reflect the actual availability of the current ARV
LG PERFORMANCE regimen. A new list of 50 items including the recommended first and
second-line ARV tracers was uploaded on the DHIS2 at the end of
HIGH PERFORMING REGIONS August 2024 and therefore, expect to accurately trace availability of
IN FY 2023/24
the ARVs basket beginning this FY. On the other hand, overall avail-
ability of supplies for a basket of 41 Commodities and health supplies
77.1% 77% at Central Level Warehouses (NMS and JMS) also reduced from 82%
in FY 2022/23 to 70% in FY 2023/24.

There was an 24.8% increase in the budget for EMHS at NMS from UGX
464 billion in FY 2022/23 to UGX 548 billion in FY 2023/24. This is inclu-
sive of the credit line and program commodities. Significant increase
KIGEZI REGION WESTNILE was realized for Public Health Emergencies (298%), UHI (84.5%),
REGION
nutrition commodities (75.1%), HIV & TB Laboratory Commodities
(48.5%), HC IVs (73.4%), RRHs (50.1%) and HC IIs (48.8%). There
LOW PERFORMING REGIONS was no increase in the budget allocation for NCD commodities.
IN FY 2023/24
The EMHS Credit Line funding towards PNFP health facilities has
64.7% 63.5% 59% remained same over the last 5 years. The available funding only covers
37% of the PNFP sector need leaving a huge gap of 63%.

HEALTH FINANCING
According to the latest Uganda’s National Health Accounts (NHA) of
BUSOGA BUNYORO SOUTH
REGION REGION CENTRAL FY 2020/21, contributions during that period were as follows; HDPs at
45.4%, Private sector (mainly household out of-pocket and voluntary
health insurance schemes) at 29% and Government at 25.6%.
HEALTH FACILITY
PERFORMANCE: The same report also indicated that the Total Health Expenditure in
FY 2020/21 was UGX 8.71 trillion, compared to UGX 7.79 trillion in
PUBLIC FACILITIES: FY 2019/20. Whereas the Current Health Expenditure (CHE) was UGX

80% 70%
8.41 trillion in FY 2020/21 compared to UGX 7.39 trillion in FY2019/20.

OUTPATIENT IN-PATIENT In FY 2023/24, the approved budget for the health subprogram
SERVICES SERVICES increased by 10% from UGX 3,685 trillion in FY 2022/23 to UGX 4,052
trillion. A similar increase of 10.6% was realized between FY 2022/23
PNFP FACILITIES: and 2021/22 where the approved budget for the health sub-program
was UGX 3.685 trillion up from UGX 3.331 trillion in the previous year.

14% 25%
OUTPATIENT IN-PATIENT
The share of the health budget to the national budget was at 7.7%
SERVICES SERVICES
compared to 7.6% the previous year. Although this falls below the
Abuja Declaration of 15% the rate of growth of the health budget
reflects a consistent average share of above 7% over the period indi-
PHP FACILITIES: cating government’s continued commitment to improving the health
needs of the population. Nevertheless, discounting for inflationary
06% 4.8%
OUTPATIENT IN-PATIENT
factors and increasing population growth rates result in a very low
per capita allocation to health of UGX 81,859 (USD 22.4 against the
SERVICES SERVICES WHO recommendation of USD 86) that is inadequate to achieve UHC
by 2030.

xviii ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

In line with advocacy for government expenditure on health, the
government contribution has risen by 10% from 52% to 62% in eight
COMMUNITY
years whereas that of the HDPs dropped by the same percentage HEALTH
points during the same period suggesting a good trend for increasing
domestic resource allocation.

The overall budget absorption (releases spent) performance for FY

2023/24 was 82% for the entire health sector compared to 87% for
last FY. Additionally, the budget execution rate (budget spent) was 74%
and the proportion of the budget released was at 90% which was a
decline from the previous Fiscal Year. The main reasons for low absorp- 28,302
tion include weak performance by externally funded projects due to VHTS WERE TRAINED
delays in granting no objections, procurement delays and restructuring ACROSS 38 DISTRICTS
of the UCREPP activities. The votes also faced constraints in paying
pension and gratuity due to delays in verification while several of the
LGs could not absorb due to the recruitment freeze.
5,329
VHTS WHO RECEIVED
LOCAL GOVERNMENTS PERFORMANCE TRAINING IN ECHIS
WERE PROVIDED WITH
The national average score for the LG League Table increased from MOBILE PHONES.
71.8% in FY 2022/23 to 72.6% in FY 2023/24. 48.6% (71/146) of the
LGs scored above the national average of 72.6%. Overall, the regional
LG scores have improved in all regions. Kigezi region ranked first
with 77.1% followed by West Nile (77.0%). Busoga (64.7%), Bunyoro
(63.5%) and South Central (59%) have remained the lowest performing
334
regions. CHEWS
COMPLETED TRAINING AND
WERE DEPLOYED TO EXTEND
HEALTH FACILITY PERFORMANCE ESSENTIAL HEALTH SERVICES TO
HOUSEHOLDS
The HCs provided 81% of the outpatient services and 29% of the
inpatient services down from 89% of outpatient and 43% respec-
tively. Public facilities contributed for 80% of outpatient services and
70% of inpatient services, while PNFP facilities accounted for 14%
of outpatient services and 25% of inpatient services. The PHP facil-
ities accounted for 6% of outpatient services and 4.8% of inpatient
services. It should however be noted that there is generally limited
reporting by PHP facilities.

The average Bed Occupancy Rate (BOR) for National Referral and
Specialised hospitals was 83% (Butabika NMRH has the highest BOR
(210%) and 73% for RRHs and large PNFPs Soroti, Lira and St. Kizito
Matany had BOR over 100% while Mengo, Lubaga, St Francis Nsambya
and Entebbe RRH had BOR below 50%. The BOR for general hospitals
was 46% down from 47% with Kapchorwa GH reporting the highest
bed occupancy rate at 210%. The average BOR at HC IVs increased
from 48% in FY 22/23 to 51.6% in FY 23/24. The ALOS also increased
from 2 days in FY 22/23 to 2.2 days in FY 23/24. The high BOR has
implications on the quality of services provided as well as the need
for operational costs including utilities and human resource thus the
urgent need to expand the infrastructure.

MINISTRY OF HEALTH xix

COMMUNITY HEALTH
A total of 28,302 VHTs were trained across 38 districts. This includes an additional 19,618 VHTs trained in
20 districts with support from UCREPP coordinated by the HPEC Department. 5,329 VHTs who received
training in eCHIS were also provided with mobile phones. MoH undertaking CHEWs training in Kazo,
Kyotera, Namutumba & Maracha Districts. Aiming to strengthen community health systems, a total of
334 CHEWs completed training and were deployed to extend essential health services to households. The
CHEW program has expanded to an additional eight districts (Kazo, Kyotera, Maracha, Namutumba, Ngora,
Kyenjojo, Koboko and Nakaseke) with support from the Global Fund and the World Bank. In these districts,
CHEWs have completed an intensive 6-months training and have been equipped and trained.

CONCLUSION
Overall, the sector has made good progress towards achieving the NDP III Health Subprogram goal as
shown by the increase in life expectancy, reduced neonatal, infant, child and maternal mortality, and
reduced total fertility rate. Improvement in implies increased effectiveness of health and welfare interven-
tions. These need to be sustained going forwards.

In respect to the planned interventions, the sector achieved 48.3% and made some progress in 27.6%
of the NDP III Key Result Areas indicators; and achieved 40.8% and made progress in 25.9% of the
outcome indicators. The major factors leading to non-achievement of several indicators were lack/inade-
quate funding, challenges in distribution of EMHS leading to reduced availability at health facilities, lack of
reliable data including low reporting by the private sector and low community uptake of some public health
interventions due to low-risk perception, low awareness, misinformation about interventions.

xx ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

CHAPTER 1
Introduction

1.1 BACKGROUND
The Annual Health Sector Performance Report (AHSPR) for Financial Year (FY) 2023/24 has been compiled
by the Ministry of Health (MOH) as an institutional Monitoring and Evaluation requirement. It documents
the Sector’s progress, challenges and lessons learned and proposes ways of moving the health sector
forward in line with Uganda’s National Development Plan 2020/21 – 2024/25 (NDP III).

This year’s Annual Health Sector Performance Report (AHSPR) is the fourth in the NDP III period. It details
the progress in implementation of the health subprogram interventions and actions for the FY 2023/24. It
also includes performance of the regions, LG Health Sector, Regional Referral Hospitals (RRHs), General
Hospitals (GHs) and Health Center (HC) IVs. These were measured using the Standard Unit of Outputs
(SUO) in form of District and Regional League Table as well as Health Facility performance.

This report will be the basis for planning, programming and budget allocation for the next FY 2025/26
following the 30th Health Sector Joint Review Mission (JRM) in October 2024.

MINISTRY OF HEALTH 1
 1.2 VISION, MISSION, GOAL AND STRATEGIC OBJECTIVES OF THE
HEALTH SECTOR

Vision
The vision of Uganda’s health sector is
“A healthy and productive population
that contributes to economic growth and
national development”.

Mission
Our Mission is “To provide high quality
and accessible health services to all people
in Uganda, including addressing broader
determinants of health to attain socio-
economic development and prosperous life”.

Goal
The HCDP primarily contributes to the NDP
III objective four which is to: enhance the
productivity and social wellbeing of the
population. Nonetheless, the programme
as well contributes to objectives (1),
which is to: Enhance value addition in Key
Growth Opportunities and (2) which is to:
Strengthen private sector capacity to drive
growth and create jobs.
The HCDP goal is to improve productivity
of labour for increased competitiveness
and better quality of life for all. The health
sector contributes mainly to Objective 4 of
the HCDP which is to “Improve population
health, safety and management”.
The health sector is responsible for the
following NDP III key results.
i. Increased life expectancy
ii. Reduced neonatal, infant, under 5 and
maternal mortality rates
iii. Reduced fertility rate
Dr Charles Njuguna the WHO Country
Representative administers the Polio vaccine to a
pupil at the official launch of the Polio Vaccination
Campaign at Busamaga Grounds in Mbale City.

2 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

1.3 MINISTERIAL POLICY STATEMENT SUB-PROGRAMME
PRIORITIES FOR THE FY 2023/24
The key Priorities for the Health Sub-programme in FY 2023/24 were:
(a) Expanding community-level health promotion, education, and prevention services in all programs to
reduce exposure to communicable and non-communicable conditions risks with targeted interventions
in Local Governments (LGs) with low coverage.

(b) Prevention and Control of Communicable Diseases: this aimed at scaling -up malaria prevention under-
taken in the high burden regions. In addition, there was a focus on improvement in HIV/AIDS care and
follow up to achieve the target of 95% and Increased awareness in the community and training of
health workers for early detection and management of TB and leprosy given the manifestations and
dangers posed by these diseases.

(c) Prevention and Control of Non-Communicable Diseases and injuries (NCDIs): Sensitization on preven-
tion of RTIs especially in South Central, Kampala, North Central and West Nile Regions with the highest
number of RTIs. Emphasis was on early detection, screening and management of NCDs.

(d) Improving Health Service Delivery: Improving the quality of services at the Lower-Level Health Facilities
to further decongest the referral hospitals from provision of Primary Health Care (PHC) services. Scale
up the 5S-CQI approach to improve quality of care; restructuring and recruitment of critical cadres at
all levels, functionalize the Regional Equipment Maintenance workshops to adequately maintain equip-
ment, renovation and equipping of dilapidated hospitals and health centers on a case by case basis,
establish regional supervisory structures, conduct facility assessments, performance reviews, function-
alize the LG Health Management Teams, Hospital Management Boards and Health Unit Management
Committees. Increasing access to quality specialised care at the referral hospitals and Centres of
Excellence. Improving availability and management of medicines and health supplies including blood.

(e) Improvement of Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCAH) services.
Specifically, functionalizing theatres at Health Centre (HC) IVs by equipping (fridges, power back up &
laboratory reagents) to provide blood transfusion services, appropriate staffing (doctors and anaesthe-
tists) to reduce maternal and neonatal deaths and other medical emergencies; implementation of the
revised Male Involvement Strategy to increase male participation in family planning and utilization of
other RMNCAH services; and improve maternal and perinatal death reviews.

(f) Support health systems improvement in health information management and use, research, and tech-
nology. Digitalizing of the hospital medical records for efficiency, performance management, improving
accountability, reduction of medicine leakages to reduce shortages. Conduct research and promote
health innovations.

(g) Strengthen public-private partnerships in areas of reporting, financial access and investments in health.

MINISTRY OF HEALTH 3
1.4 THE PROJECTED DEMOGRAPHICS FOR FY 2023/24
The key demographic variables used to assess coverage for outcome indicators for the different age groups
and interventions are shown in Table 1.

TABLE 1: POPULATION PROJECTIONS FOR FY 2023/24

Demographic Variables Proportion Population
Total population 100% 45,562,000
Males 49.1% 22,370,942
Females 50.9% 23,191,058
Children under 1 year 4.3% 1,959,166
Children under 5 years 17.3% 7,882,226
Children below 18 years 53.1% 24,193,422
Adolescents and youth (young people) (10 –24 years) 35.1% 15,992,262
Expected pregnancies 5% 2,278,100
Expected deliveries 4.8% 2,186,976
Women of reproductive age (15 - 49 years) 24.6% 11,208,252
Refugees 1,702,278
Total Including refugees 47,264,278

UBOS Mid-year population projections 2023

1.5 THE PROCESS OF COMPILING THE REPORT

The process of compiling the AHSPR was participatory involving all departments and the Technical
Working Groups (TWGs) composed of MoH, Health Development Partners (HDP), Private Sector, Medical
Bureaus and Civil Society Organizations (CSOs) representatives. The MoH Planning, Financing and Policy
Department, constituted the secretariat and held a 5-day retreat for data synthesis and report writing
with support from the Clinton Health Access Initiative (CHAI). The draft report was shared with all Heads
of Departments and Civil Society Organizations TWGs for validation. The final draft was presented to the
Senior Management Committee (SMC) and the Health Policy Advisory Committee (HPAC) for endorsement
and approval by MoH Top Management Committee.

The compilation of the report was based largely on quantitative data derived from the MoH Health
Man¬agement Information System (HMIS) - District Health Information Software Version 2.37 (DHIS 2.37).
Other quantitative and qualitative data was obtained from the following data sources.

(i) Uganda Housing and Population Census Report 2024

(ii) Uganda Demographic Health Survey 2022
(iii) Uganda STEPS Survey for NCDs 2023
(iv) Integrated Financial Management Information System (IFMIS)
(v) Quarterly Program Budgeting System Reports 2023/24
(vi) Annual Health Sector Performance Report 2022/23
(vii) Local Government Performance Assessment Report, 2023
(viii) Supervision Performance Assessment and Recognition Reports
(ix) Maternal and Perinatal Death Review Report 2023/24
(x) World Health Statistics 2023

4 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

CHAPTER 2
Overall Sector
Performance and Progress

Chapter two provides an overview of the health sector performance

for FY 2023/24 covering analysis of the; i) health sector against
NDP III HCDP Key Results Areas (KRAs), ii) Diseases Burden, iii)
Intermediate outcome indicators, and key inputs including medi-
cines and health supplies, and financing.

MINISTRY OF HEALTH 5
2.1 PERFORMANCE AGAINST THE NDP III KEY RESULT AREAS
(KRAS)
At goal level life expectancy at birth has increased from 63.7 years in 2014 to 68.2 years in 2024 barely
short of the NDP III target for the year of 68.7 years. The life expectancy at birth for males (66.9 years)
was lower compared to their female counterpants (70.1 years).(Figure 1) Between 2014 and 2024, males
and females gained more 4 years and 6 years in their life expectancy at birth respectively. (UBOS, Census
Report 2024) This is attributed to improvement in childhood mortality rates as they core in determining the
life expectancies at birth, as well as increased effectiveness of other health and welfare interventions. Teso
has the highest life expectancy of 78 years and Ankole has the lowest life expectancy at birth of 60 years.
(Figure 2).

FIGURE 1: LIFE EXPECTANCY AT BIRTH BY CENSUS YEARS

66.9
2024 70.1
68.2
62.8
2014 64.5
63.7
48.8
2002 52
50.4
45.7
1991 50.5
48.1
46
1969 47
46.5

0 10 20 30 40 50 60 70 80

Male Female Total

Source: UBOS, Census Report 2024

FIGURE 2: MAP SHOWING LIFE EXPECTANCY AT BIRTH BY SUB-REGION

6 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

The health sector contributes directly to 6 KRAs under the NDP III. The assessment was based on 29 indi-
cators, of which the sector achieved targets for 14 (48.3%), made some progress in 8 (27.6%) and did not
achieve 7 (24.1%).

TABLE 2: SUMMARY OF PERFORMANCE AGAINST THE NDP III KEY RESULT AREAS IN FY 2023/24
No. Key Result Area Achieved Progress Not Indicators Not
Achieved Assessed
1 Improved Skills Mix 2 (100%) - - -
2 Reduced morbidity and mortality of the population 5 (41.7%) 3 (25%) 4 (33.3%) 3
3 Improvement in the social determinants of health and safety 5 (62.5%) 2 (25%) 1 (12.5%) -
4 Reduced fertility and dependence ratio 2 (66.7%) 1 (33.3%) 0 -
5 Universal Health Coverage - 2 (66.7%) 1 (33.3%) -
6 All key forms of inequalities reduced - - 1 (100%) -
2023/24 Score (n = 29) 14 (48.3%) 8 (27.6%) 7 (24.1%) 3
2022/23 Score (n = 31) 15 (48.3%) 6 (19.4%) 10 (32.3%) 1
2021/22 % score (n = 24) 12 (50%) 1 (4.2%) 11 (45.8%) 9
2020/21 % score (n = 24) 14 (58.3%) 4 (16.7%) 6 (25%) 8

KRA 1: IMPROVED SKILLS MIX

There was an increase in the available health workers per population evidenced by an increase from 9,121
to 9,388 doctors, and from 108,208 to 119,132 nurses and midwives registered with the respective Health
Professional Councils. The annual target of number of health workers (doctors, midwives, nurses) per
10,000 population was met however, we are not able to determine the population access. Staffing level in
the public health facilities was 34% based on the new human resource structure.

The health workforce accounts system is not fully functional. The iHRIS can only track health
workers in the public excluding the private sector. There is need to institutionalize the National
Health Workforce Accounts to track the entire health workforce in the country. Despite availability
of trained health workers in the country, staffing levels have remained low (34% based on the new
structure).

KRA 2: REDUCE MORBIDITY AND MORTALITY OF THE POPULATION

The sector achieved only 36.4% (4/11) of the assessed targets under this KRA including reducing the
number of new HIV infections to 1.23/1,000 population below the target of 2.5/1,000, annual cancer inci-
dent cases reported through the routine health information system was 35,968 below the target of 40,000;
maternal mortality ratio was 189/100,000 against the target of 236/100,000. According to the Global Health
Statistics report, the mortality rate attributed to WASH has reduced by 40% from 54/100,000 in 2019/20 to
28/100,000 in 2022. However, under five illness attributed to diarrhoeal diseases have remained high with
an increase to 7.6% in FY 2023/24 from 7.1% in 2022/23. The high number of diarrhoea cases reported
may be attributed to viral diarrhoea and fever related diarrhoea as there has been improvement in WASH
practices.

Maternal mortality ratio reduced by 44% from 336/100,000 live births in 2016 to 189/100,000 live births.
Under-five mortality rate reduced by 18.5% from 64/1,000 in 2016 to 52/1,000 live births in 2022 which is
still far from the NDP III target for the year of 33/1,000; and infant mortality rate reduced by 16.3% from
43/1,000 in 2016 to 36/1,000 live births in 2022 achieving the NDP III target of 35.6% by 2023/24, and
neonatal mortality rate also reduced by 18.5% from 27/1,000 to 22/1,000 live births short of the NDP III
target of 20/1,000 live births by 2023/24. (UDHS 2022). The proportion of mortality dues to communicable
diseases (Malaria, AIDS and TB) has also progressively reduced to 40.5% in FY 2023/24 compared to
50.8% in FY 2022/23 though above the planned target of 35% for FY 2023/24.

MINISTRY OF HEALTH 7
TB and malaria incidences are still high although there was a reported 21% reduction in confirmed malaria
cases to 230/1,000 population in FY 2023/24 compared to 375/1,000 in FY 2022/23. Key malaria prevention
interventions carried out such as: IRS in West Nile and Bukedi regions, seasonal malaria chemoprophylaxis
in Karamoja sub-region and LLINs mass distribution with 98.8% coverage have contributed to the reduction
in morbidity and mortality due to malaria.

Up to 23.5% of adults 18 – 69 years have hypertension (SBP > 140 and/or DBP > 90 mmHg) with no signif-
icant variation between males (23.4%) and females (23.5%). What is of major concern is that 84.3% of
population with raised blood pressure are not on medication for raised blood pressure. The proportion of
the population 18 – 69 years with diabetes has increased from 1.8% in 2014 to 3.3% in 2023 (males 2.6%
and females 3.9%) (STEPS 2023).

KRA 3: IMPROVEMENT IN THE SOCIAL DETERMINANTS OF HEALTH AND SAFETY

Achieved targets for 66.7% (6/9) of the indicators and made some progress in 33.3% (3). Prevalence of
teenage pregnancy (15 -19) has reduced to 13.6% (Census 2024) from 24% in 2022 and 25% in 2016. In
respect to nutrition, stunting in children under five reduced by 10% from 29% to 26% (male, 22.9% and
females, 29.2%), and there was 27.5% decline in wasting among children under five from 4% in 2016 to
2.9% in 2022 (urban 2.1%, rural 3.2%). Mortality attributed to injuries has also reduced from 4.6% based
on health facility records. A number of community deaths especially due to road traffic accidents are not
reported through the health facilities. Prevalence of obesity is highest among women at 12.3% compared
to men at 6.2% (STEPS 2023), and children under 5 years 3.4% (UDHS 2022).

Alcohol consumption in Uganda is high with 31.1% of population 18 – 69 years being current drinkers (past
30 days) compared to 28.5% in 2014. 9.7% drank in past 12 months (not current), 17% past 12 months
abstainer, and 41.6% lifetime abstainers. Alcohol consumption is highest in men at 44.6% compared to
women at 19.1%. Up to 50.2% women are lifetime abstainers compared to 32% men. (2023 STEPS
survey)

10.9% of population 18 – 69 years consume alcohol daily (13.4% men and 6.8% women), while 4.4% are
high-end level drinkers (>60g of pure alcohol on average per occasion among men and >40g of pure alcohol
on average per occasion among women) compared to 3.4% in 2014. 5% of respondents experienced
family/partner problems due to someone else’s drinking. (STEPS 2023).

KRA 4: REDUCED FERTILITY AND DEPENDENCE RATE

The Total Fertility Rate (TFR) has declined from 5.8 (Census 2014) to 5.4 (UDHS 2016) to 5.2 (UDHS, 2022)
and 4.5 (UBOS, Census Report 2024) achieving the NDP III target of 4.5 by 2024/25. The general fertility
rate shows that there were 129 births for every 1,000 women in the reproductive age group (15-49 years).

FIGURE 3: TOTAL FERTILITY RATE IN UGANDA 1969 – 2024

8
7.1 7.1 7
7
6 5.8

5 4.5
4
3
2
1
0
1969 1991 2002 2014 2024
Source: Census Report 2024

8 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

FIGURE 4: AGE SPECIFIC FERTILITY RATE BY CENSUS YEARS

0.3 2014

0.25 2024

0.2

0.15

0.1

0.05

0
15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49

Overall, Teso region has the highest total fertility rate of 5.5 and Buganda having the lowest total fertility
rate of 3.8. (Figure 5)

FIGURE 5: MAP SHOWING TFR BY SUB-REGIONS

Adolescent birth rate among women 10 – 19 years has reduced significantly from the 128 per 1,000 (WHS
2022) to 31 per 1,000 women in that age group. 61 per 1,000 women aged 15-19 years give birth annually
compared to 1 per 1,000 women among those aged 10-14 years. (UBOS, Census Report 2024)

FIGURE 6: ADOLESCENT BIRTH RATE PER 1,000 WOMEN

70 61.2
60
50
40 31.4
30
20
10
0.4
0
10 - 14 years 15 - 19 years 10 - 19 years

MINISTRY OF HEALTH 9
The country has made some progress towards reducing unmet need for family planning for all women
and whereas there was a reduction from 20.8% to 20.5% in 2023/24, this progress was not significant to
make us achieve the annual target of 14%. We have also witnessed a slight reduction in the modern contra-
ceptive prevalence rate (mCPR) for all women from 34.6% to 34.1%. Despite this small 0.5% reduction,
the estimated number of total women using a modern method of contraception has grown to 4,208,000
users from 4,132,00 in the previous year. This has translated into 1,571,000 unintended pregnancies being
prevented, over 390,000 unsafe abortions averted, and 3,500 maternal deaths averted. However, we regis-
tered a reduction in the couple years of protection to 4,403,935 from 5,188,908 in 2022/23 likely due to
stock out of FP commodities due to delayed delivery by NMS.

FIGURE 7: TRENDS FOR COUPLE YEARS OF PROTECTION (CYP)

6,000,000

5,000,000

4,000,000
CYP

3,000,000

2,000,000

1,000,000

0
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023

There is also a growing diversity and greater equality between Long Acting and Reversable Contraceptives
and Short-Term Methods, with implants and injectables dominating the country’s method mix (Figure 8).

10 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

FIGURE 8 : FP METHOD MIX
2% SDM
6% Sterilization (F)

6% LAM 0% Sterilization (M)

5% IUD
7% Condom (m+f)

6% OC Pills

31% Implant

37% Injectable

KRA 5: UNIVERSAL HEALTH COVERAGE

Health insurance coverage in Uganda is still very low. According to UDHS 2022, only 1% of women and
men aged 15 – 49 years had heard of health insurance and were insured. Insurance coverage was higher
among urban women (1%) than their rural counterparts (0.3%). The same pattern holds true for men (4%)
versus women (1%). This is same as the Census 2024 finding of 1% health insurance coverage (Males
1.1% and females 1%).

In terms of regional variation, its Kigezi leading at 2.9%, followed by Buganda sub-region (1.7%), and
Bukedi sub-region lagging at 0.4%.

FIGURE 9: A MAP SHOWING HEALTH INSURANCE COVERAGE BY REGION

With only 1% of the population having health insurance, there is a need to fast track legislation on
the National Health Insurance Scheme and also promote affordable health insurance schemes for
complementary packages. Incentives for both private and public health insurance providers can
help increase coverage and reduce out-of-pocket expenses for families.

MINISTRY OF HEALTH 11
Readiness capacity of health facilities to provide general services. The Health Facility Quality of Care
Assessment report, 2023 shows improvement in the quality aspects of health service delivery. The average
modular performance for 2023 was 65.2%, 2022 was 61.3% and 2021 was 62.1%. An improvement of
3.1% between 2021 and 2023 was noted. In addition, an improvement across all the modules except diag-
nostics services module which reduced from 52.1% to 47.7%. Details in the table below.

TABLE 3: TRENDS IN THE HFQAP MODULAR SCORES

Module 2023 2022 2021
Leadership &Governance 73.1 70.6 67.6
Human Resources 59.9 55.6 55.3
Health Financing 65.6 64.6 62.8
Health information 65.5 60.9 61.1
Medicines, health supplies, vaccines and Equipment 58.9 49.8 54.4
Health Infrastructure 71.7 59.9 67.9
RMNCAH Services 69.9 66.8 67.7
Community-based care, clinical care, Referral and emergency services 72 71.4 67.9
Diagnostic services 47.7 54.8 52.1
Client-centered care & safety 67.5 58.8 64.3

KRA 6:ALL KEY FORMS OF INEQUALITIES REDUCED

Progress based on the most current Global Monitoring report for UHC 2023 (WHO & WB) which is yet to
be updated to capture the UDHS 2022 findings, therefore still reported at 49%.

12 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

TABLE 4: PERFORMANCE AGAINST THE 32 KEY RESULT AREAS SHOWING TRENDS FOR THE LAST 4 FYS.
KRA Description Baseline Performance Performance Performance Target 2023/24 Performance Remarks
2019/20 2020/21 2021/22 2022/23 2023/24
KRA 1 Improved Skills Mix
1. Number of health workers (doctors, midwives, 18 19 22.5 25.8 23 28 9,388 doctors, 119,132 nurses & midwives registered
nurses) per 10,000 population against a population of 45,955,046.
2. Number of physicians per 10,000 population 0.1 1.2 1.8 2 1.8 2 (9,388/45,955,046) More physicians have been trained and
registered however, the number in actual practice is lower.
Only 6,802 (72%) renewed their practicing licenses in 2021
KRA 2 Reduced Morbidity and Mortality of the population
Morbidity
3. Number of new HIV infections per 1,000 1.3 1.72 1.3 1.21 2.5 1.23 Significant reduction though the level of comprehensive
susceptible population knowledge of HIV prevention methods is still low at 56% for
men and 54% for women 15 – 24 years.
4. Tuberculosis incidence per 100,000 population 234 192 199 199 104 198 This is resulting from the intensified Case Finding
Mechanism implemented in the period. Through Community
Awareness, Screening, Testing and Treatment Campaigns
across the country
5. Malaria incidence per 1,000 population 293 302 317 375 170 298 A 21% reduction in malaria cases in FY 2023/24 compared
to FY 2022/23. Key malaria prevention interventions carried
out such as: IRS in West Nile, and Bukedi regions, seasonal
malaria chemoprophylaxis in Karamoja sub-region
and LLINs mass distribution with 98.8% coverage have
contributed to the reduction in the malaria cases.
6. Hepatitis B incidence per 100,000 population 60 NA 26.5 33.4 35.0 NA Uganda Hepatitis B prevalence stands at 4.1%
7. Annual Cancer Incident Cases 80,000 NA NA NA 40,000 35,968 Uganda Cancer Statistics -Based on Globocan Age-
standardized cancer incidence data 2022, published in 2024
8. Annual Cardiovascular Incident cases NA NA NA 2,539 4,000 NA No data source
9. Incidence of Road accidents 2,348 NA NA NA 1,400 NA No reliable data source
10. Under 5 illnesses attributed to diarrheal 6.9 7.9 7.7 7.1 3.5 7.6 Attributed to poor WASH practices
diseases (%)
Mortality
11. Maternal Mortality ratio (per 100,000) 336 NA NA 189 236 189 Achieved target due to targeted investments in increasing
access to maternal and child services by upgrading /
construction of HC IIIs, RBF for PHC and strengthened
MPDSR & action.
12. Neonatal Mortality Rate (per 1,000) 27 20 NA 22 20 22 Some progress though target not achieved. Deaths largely
due to prematurity and sepsis.
13. Under Five Mortality Rate (Per 1,000) 64 46 NA 52 33 52 19% reduction.

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 13

KRA Description Baseline Performance Performance Performance Target 2023/24 Performance Remarks
2019/20 2020/21 2021/22 2022/23 2023/24
14. Hypertension rate (%) 3.2 3.5 3.5 3.5 2.4 23.5 Increase recorded due to improved data collection through
the STEPS survey
Male
2.1 2.1 NA 23.4
Female 4.8 4.8 NA 23.5
15. Diabetes rate (%) 2.5 0.9 0.8 0.8 2.1 3.3 STEPS Survey 2022

Male 0.8 0.8 0.8 2.6

0.9 0.9 0.9 3.9
Female
16. Reduce proportion of mortality Malaria, 60 57.2 52.8 50.8 35 40.4 There is some reduction from the previous FY though target
due to communicable diseases AIDS and TB not achieved.
(Malaria, AIDS and TB) from 60 in
Malaria 7.5 6.5 7 8 5.7 A total of 2,593 malaria related deaths out of 45,665 total
2017 to 30 by 2025)
deaths (all causes) were reported at health facilities.
AIDS 39.2 35.8 39.1 5.9 26.0
TB 9.5 5.2 18 1.8 8.7
17. Mortality rate attributed to unsafe water, 54 NA NA NA 45 28.1 Global Health Statistics Report
unsafe sanitation, and lack of hygiene (per
100,000)
KRA 3: Improvement in the social determinants of health and safety
18. Prevalence of teenage 25 NA NA 24 16 24
pregnancy (%)
19. Stunting U5 (%) Children U5 29 25 25 25 21 26 Karamoja sub-region has the highest prevalence of
stunting (43.9%), wasting (12.5%), and underweight (32.4%)
among children under five. Followed by Kigezi sub-region,
with high stunting prevalence (41.5%) and overweight
(5.9%).
Male 30.8 30.8 22.9 This shows that females are more stunted than males
Female 20.2 20.2 29.2
20. Wasting U5 (%) Wasting U5 4 3.2 3.2 2.9 2 2.9
Urban 4.3 4.3 2.1
Rural 2.8 2.8 3.2
21. Mortality attributed to Injuries (%) 13 11 16 4.5 9 6
22. Prevalence of obesity (BMI >, Women 24 11.8 11.8 8.4 14 12.3 An increase from 7.5% (STEPS 2014)
30 kg/m2
Men 9 2.3 2.3 1.5 5 6.2 An increase from 1.8% (STEPS 2014)
Children U5 7.5 3.1 3.1 3.4 4 3.4
23. Alcohol abuse rate 5.8 2.5 6.5 6.5 5 4.4 STEPS 2023. There were 13,140 OPD attendances due to
alcohol use disorder in FY 2023/24
24. Improved sanitation coverage (toilet) 19 24.5 24.5 44 37 44 Source NSDS Report 2021 & Census Report 2024
KRA Description Baseline Performance Performance Performance Target 2023/24 Performance Remarks
2019/20 2020/21 2021/22 2022/23 2023/24
25. Improved handwashing facility 34 44.7 44.7 49.5 46 47 Census Report 2024
KRA 4 Reduced fertility and dependence ratio
26. Total Fertility Rate 5.4 NA NA 5.2 4.6 5.2 No new data since UDHS, 2022
27. Adolescent fertility rate (Birth 15 – 19 years 132/1,000 111/1,000 111/1,000 128/1000 130 61/1,000 Census 2024
rate per 1,000 adolescent women) (2017
Estimates)
10 – 14 years 2/1,000 NA NA NA 1/1,000 Census 2024
28. Unmet need for Family Planning 28 31 22.7 22 14 20.5
KRA 5 Universal Health Coverage
29. Proportion of the population All 5.1 3.9 3.9 2.1 22 1.1 No major variation between males (1.1%) and females (1%)
accessing health insurance (%)
Urban 6.4 6.4 NA NA
Rural 2 2 NA NA
30. Out of pocket health expenditure (financial 42 41 37.1 27.4 26 27.4
protection for ill health)
31. Readiness capacity of health facilities to 52 58 58 59 75 59 HHFA not undertaken during the review period.
provide general services
KRA 6 All key forms of inequalities reduced
32. Proportion of the population accessing 45 NA NA 49 57 49 Based on Global Monitoring report for UHC 2023.
Universal health care, (UHC Index),

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 15

2.2 DISEASE BURDEN
The disease burden has been analysed based on data generated from the Health Information Management
System using the District Health Information System Software (DHIS2). A total of 6,546 health facilities
are coded and 52.4% are owned by government, 14.8% Private Not-For Profit (PNFP), and 32.8% for the
Private Health Providers (PHPs).

TABLE 5: HEALTH FACILITIES BY LEVEL AND OWNERSHIP IN FY 2023/24

Facility Level Public PNFP PHP Total

Residence Number % Number % Number % Number %
National Referral Hospitals 9 0 0 0 0 0 9 0.1
Regional Referral Hospitals 16 0 0 0 0 0 16 0.3
General Hospitals 54 2 73 8 62 3 189 2.9
Health Centre IVs 199 6 35 4 28 1 262 4.0
Health Centre IIIs 1,435 42 359 37 246 11 2,040 31.2
Health Centre IIs 1,717 50 447 46 1,448 67 3,612 55.2
Clinics 0 0 52 5 366 17 418 6.4
TOTAL 3,430 100 966 100 2,150 100 6,546 100

* Many facilities, particularly PHP have been categorized by districts as nonfunctional and do not report through the MoH
DHIS2

2.2.1 Outpatients Department (OPD) Attendances

There was a decrease in the total OPD attendances (new and revisits) by 1.8% to 45,427,970 attendances
compared to 46,261,118 in FY 2022/23, giving a per capita OPD attendance of 0.96 compared to 1.0 in
FY 2022/23. OPD attendances for children under 5 years accounted for 17.1% (Males 8.2% & Females
8.8%) of all attendances whereas females above 5 years accounted for 52.6% of all the OPD attendances.
Overall, there is a 11.2% reduction in the number of under 5 OPD attendances from 8,723,403 in 2022/23
to 7,747,714 in 2023/24.

TABLE 6: TRENDS IN OPD ATTENDANCES BY AGE GROUP

FY Under 5 years 5 Above years Total
Male Female All Sexes Male Female All Sexes
2023/24 3,740,177 4,007,537 7,747,714 13,798,873 23,881,383 37,680,256 45,427,970
8.2% 8.8% 17.1% 30.4% 52.6% 82.9% 100.0%
2022/23 4,180,589 4,542,814 8,723,403 13,990,786 23,546,929 37,537,715 46,261,118
9.0% 9.8% 18.9% 30.2% 50.9% 81.1% 100%
2021/22 4,317,149 4,676,584 8,993,733 13,091,981 22,492,116 35,584,097 44,577,830
9.7% 10.5% 20.2% 29.4% 50.5% 79.8% 100.0%
2020/21 4,463,504 4,841,826 9,305,330 13,930,724 23,841,714 37,772,438 46,723,443
9.5% 10.4% 19.9% 29.8% 51% 80.8% 100%

75.1% of patients attended OPD services from the government health facilities, 13.4% from PNFPs and
11.5% from PHPs.

Up to 64% of the population utilized the Primary Health Care services provided at the lower-level
public health facilities (HC IVs, IIIs and IIs) and thus the need for continued investment and improve-
ment of the quality of services as they are more accessible to the population.

16 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

TABLE 7: OPD ATTENDANCES BY HEALTH FACILITY LEVEL AND OWNERSHIP IN FY 2023/24
Facility Level Government PNFP PHP Total
Number % Number % Number % Number %
NRH 701,543 2.1 - - - - 701,543 1.5
RRH 1,601,791 4.7 - - - - 1,601,791 3.5
General Hospitals 2,524,093 7.4 2,102,402 34.6 1,332,534 25.6 5,959,029 13.1
Health Centre IVs 4,614,671 13.5 238,892 3.9 373,546 7.2 5,227,109 11.5
Health Centre IIIs 15,984,217 46.8 1,890,294 31.1 530,386 10.2 18,404,897 40.5
Health Centre IIs / Clinics 8,712,540 25.5 1,851,256 30.4 2,969,785 57.0 13,533,581 29.8
TOTAL 34,138,855 100.0 6,082,844 100.0 5,206,251 100.0 45,427,950 100

In terms of workload, the RRHs have the highest patient load per hospital at 94,223 average OPD
attendances per year compared to 31,529 at general hospitals, 19,951 at HC IVs/Community hospi-
tals and 9,022 average OPD attendance per year at HC IIIs. The high patient volume at the RRHs
affects quality of care and contributes to the high stock out of commodities. There is need to estab-
lish a gatekeeping mechanism to allow referral hospitals provide quality secondary and tertiary
care services. This can be through strengthening the HC IV level to deliver the expanded range of
services as per the Uganda Essential Health Care Package 2024.

In addition, there is variation in outputs per health facility, e.g. outputs for the different hospitals at
the RRH or general hospital level vary. Therefore, there is need to develop a mechanism for resource
allocation including medicines and health supplies based on outputs than standardization.

TABLE 8: TRENDS IN OPD ATTENDANCES BY HEALTH FACILITY LEVEL

FY 2021/22 FY 2022/23 2023/24
Facilities reporting

Facilities reporting

Facilities reporting
Average OPD

Average OPD

Average OPD
No. of Health

No. of Health

No. of Health
Attendances

Attendances

Attendances

Attendances

Attendances

Attendances

Attendances
No. of OPD
% of OPD

% of OPD

% of OPD
Level

NRH 5 0.5% 45,280 5 0.5% 45,307 9 701,543 1.5% 87,693

RRH 16 3.6% 99,451 16 3.4% 91,759 16 1,601,791 3.5% 94,223
GH 190 11.5% 26,796 183 12.6% 29,140 189 5,959,029 13.1% 31,529
HC IV 240 9.8% 18,070 245 11.3% 20,145 262 5,227,109 11.5% 19,951
HC III 1,635 37.8% 10,265 1,879 40.2% 9,252 2,040 18,404,897 40.5% 9,022
HC II 3,413 33.8% 4,396 3,303 29.0% 2,803 3612 12,125,315 26.7% 3,357
Clinic 437 3.1% 3,193 394 3.0% 2,236 418 1,408,267 3.1% 3,369
Total 5,936 100% 7,485 6,025 5,849 100% 6,546 45,427,950 100.0% 6,940

2.2.2 Common Conditions in OPD Attendance

Malaria remains the leading condition accounting for 29.4% of all OPD attendances in FY 2023/24
compared to 31.1% in 2022/23, followed by cough or cold (no pneumonia) at 21.6%, urinary tract
infections (5.9%) and skin disorders at 5.7%. It is worth noting that there was an 16% reduction in the
number (12,147,796) of malaria cases reported in FY 2023/24 compared to 14,381,183 in FY 2022/23.
Similarly, there was a reduction in the number of OPD attendance dues to cough or cold by 8%, however,
the number of urinary tract infections increased by 12%. The 93% increase in skin diseases needs to be
further investigated. (Table 9).

MINISTRY OF HEALTH 17
TABLE 9: CHANGE IN THE NUMBER OF CONDITIONS LEADING TO THE TOP CAUSES OF OPD ATTENDANCE
Diagnosis FY 2020/21 FY 2021/22 % change FY 2022/23 % change FY 2023/24 % change
Malaria 13,604,703 14,295,199 5% 14,381,183 0.60% 12,147,796 -16%
Cough or cold 9,113,103 9,113,485 0% 9,347,156 2.56% 8,621,417 -8%
Urinary Tract Infections 2,143,089 2,083,578 -3% 2,102,008 0.88% 2,358,378 12%
Skin Diseases 1,507,755 1,196,614 -21% 1,181,354 -1.28% 2,281,273 93%
Gastro-Intestinal Disorders 1,952,200 1,796,554 -8% 1,819,954 1.30% 1,957,855 8%
Intestinal Worms 1,673,886 1,388,914 -17% 1,224,676 -11.82% 1,249,434 2%
Diarrhoea – Acute 1,509,895 1,170,469 -22% 1,088,847 -6.97% 1,063,049 -2%
Injuries (All causes) 508,245 629,718 23.0% 574,186 -0.70% 843,653 47%
Hypertension 705,380 717,045 1.70% 926,235 29.17% 839,087 -9%
Pneumonia 912,264 982,509 8% 871,363 -11.31% 823,771 -5%

Whereas all regions in the country are affected the most affected were Acholi, Teso, West Nile, Busoga,
Bukedi, Karamoja and Lango.

TABLE 10: MALARIA INCIDENCE AND DEATHS BY REGION IN FY 2023/24

Region Confirmed Malaria cases per % of malaria cases Test Positivity Malaria deaths
malaria cases 1,000 persons to OPD attendance rate (%)
Acholi 1,227,630 659 39.8 63.6 313
Ankole 402,474 107 13.3 21.2 111
Bugisu 342,093 135 18.5 19.5 385
Bukedi 728,487 323 31.8 33.8 145
Bunyoro 484,818 167 26.2 46.9 251
Busoga 1,573,224 355 38.3 26.6 374
Kampala 254,750 143 6.2 17.9 106
Karamoja 424,285 316 30.8 54.1 172
Kigezi 97,280 58 4.8 8.4 21
Lango 832,507 314 39.8 59.4 293
North Central 940,602 205 23.6 40.8 345
South Central 709,161 170 18.6 48.8 231
Teso 1,002,882 471 40.9 51.3 227
Tooro 597,403 155 20.7 45.8 285
West Nile 1,352,442 468 32.8 45.5 323
National 10,970,038 240 27.2 42.2 3,582

FIGURE 10:REGIONAL VARIATION IN THE INCIDENCE OF MALARIA IN THE LAST TWO FINANCIAL YEARS

National 358 National 280

Kigezi 80 Kigezi 58
Kampala 139 Ankole 107
Ankole 154 Bugisu 135
Bugisu 164 Kampala 143
Bunyoro 224 Tooro 155
Tooro 230 Bunyoro 167
South Central 233 South Central 170
North Central 239 North Central 205
Karamoja 353 Lango 314
Lango 413 Karamoja 316
Busoga 420 Bukedi 323
Teso 540 Busoga 355
Bukedi 541 West Nile 468
West Nile 673 Teso 471
Acholi 746 Acholi
FY 2022/23 FY 2023/24

18 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 659

A number of interventions were carried out to address the malaria epidemic in the country. In the months
of December 2023 and March 2024, NMCD carried out key interventions such as: IRS in West Nile and
Bukedi regions and LLINs mass distribution. These have contributed to the reduction in the malaria cases
in the last quarter of this financial year.

Districts from regions with high malaria burden will be prioritized for trainings and mentorships in malaria
mortality audits and integrated management of malaria

A total of 20 (West Nile – 09; Lango – 02; Teso – 02; Busoga – 02 and Bukedi – 07) districts conducted
IRS. In these districts 6.8 million people in 1.92 million structures were targeted while 1.7 (88.5%) million
structures were sprayed and 6.04 million (89%) people were protected.

All the 11 targeted LGs conducted larviciding interventions (i.e. Mitooma, Otuke, Lira, Lira city, Kabale,
Kisoro, Rubanda, Alebtong, Pallisa, Kibuku and Namutumba).

Seasonal Malaria Chemoprevention (SMC) is a malaria prevention strategy that involves administering
monthly doses of antimalarial drugs to children up to the age of 5 years ahead of malaria peak transmission
season. SMC was conducted in all the nine districts of Karamoja Region targeting a total of 257,019 children
of which 268,380 (104%) children were reached and the activity was initiated in May 2023 and concluded
in October 2023.

MINISTRY OF HEALTH 19
TABLE 11: TOP 20 DISEASE CONDITIONS AMONG OPD ATTENDANCES

Diagnosis Total % Of OPD Under 5 Above 5 Total % Of OPD

attendance Male Female Total Male Female Total attendance

Malaria 14,381,183 31.1% 1,173,888 1,271,591 2,445,479 3,460,881 6,241,436 9,702,317 12,147,796 30.7
Cough or cold - No Pneumonia 9,347,156 20.2% 1,027,864 1,140,201 2,168,065 2,455,393 3,997,959 6,453,352 8,621,,417 21.8
Urinary Tract Infections 2,102,008 4.5% 39,883 40,182 80,065 591,174 1,687,139 2,278,313 2,358,378 6.0
Skin Diseases 1,181,354 2.6% 177,214 1,244,461 1,421,675 363,358 496,240 859,598 2,281,273 5.8
Gastro-Intestinal Disorders (non-Infective) 1,819,954 3.9% 57,755 62,486 120,241 562,112 1,275,502 1,837,614 1,957,855 4.9
Intestinal Worms 1,224,676 2.6% 118,116 139,474 257,590 365,996 625,848 991,844 1,249,434 3.2
Diarrhoea - Acute 1,088,847 2.4% 279,538 293,369 572,907 221,004 269,138 490,142 1,063,049 2.7
Injuries (All Causes) 629,718 1.4% 10,763 9,428 20,191 140,297 97,017 237,314 843,653 2.1
Hypertension 926,235 2.0% 0 0 0 261,358 577,729 839,087 839,087 2.1
Pneumonia 871,363 1.9% 199,904 207,174 407,078 166,019 250,674 416,693 823,771 2.1
Pelvic Inflammatory Disease (PID) 478,504 1.0% - 2,186 2,186 - 508,486 508,486 510,672 1.3
Tooth extractions 511,924 1.1% 0 0 0 0 0 0 0 -
Sexually Transmitted Infection 505,125 1.1% 3,344 3,836 7,180 136,678 358,104 494782 501962 1.3
Allergic conjunctivitis 413,812 0.9% 36,883 39,901 76,784 187,212 234,443 421,655 498,439 1.2
Bacterial Conjunctivitis 352,313 0.8% 64,415 71,115 135,530 148,008 208,465 356,473 492,003 1.2
Dental Caries 403,989 0.9% 7,520 9,482 17,002 179,672 248,961 428,633 445,635 1.1
Tonsillitis 474,918 1.0% 17,416 20,645 38,061 129,560 215,185 344,745 382,806 1.0
Epilepsy 263,843 0.6% 9,070 7,239 16,309 129,686 134,323 264,009 280,318 0.7
Otitis media acute and chronic 206,678 0.4% 31,615 48,355 79,970 61,241 85,487 146,728 226,698 0.6
Other eye conditions - - 10,804 12,817 23,621 75,044 97706 172,750 196,371 0.5
Typhoid Fever - - 6,552 4,131 10,683 71,631 112,376 184,007 194,690 0.5
Diabetes mellitus 330,928 0.7% - - - - - - - -
All other OPD attendance 8,746,590 18.9% 225,548 223,913 449,461 1,227,543 1,973,318 3,200,861 3,650,322 9.2
Total 46,261,118 100.0% 3,498,092 4,851,986 8,350,078 10,933,867 19,695,536 30,629,403 39,565,629 100.0%
2.2.3 Injuries among OPD Attendances
A total of 843,653 OPD attendances were due to all types of injuries. Trauma due to other causes accounted
for 42% of all injuries, followed by soft tissue injuries at 19% and RTIs due to motorcycles 10%. Injuries
related to Gender-Based Violence (GBV) increased by 20.2% from 65,269 in FY 2022/23 to 78,466 cases in
FY 2023/24 across all age groups. Notably, 35% (27,383) of these cases involved children under 19 years
of age.

TABLE 12: CAUSES OF INJURIES AMONG OPD ATTENDANCES IN FY 2023/24

Type of Injury Under 5 Under 5 Total < Above 5 Avove 5 Total > 5 Overall %
years years 5years years years years Total
Male Female Male Female
Injuries (Trauma due to other causes) 14,933 14,636 29,569 154,326 166,744 321,070 350,639 42
Soft tissue injuries 4,764 4,842 9,606 81,975 65,462 147,437 157,043 19
Road Traffic Injuries - Motor Cycle 1,731 1,815 3,546 52,982 31,717 84,699 88,245 10
Injuries due to GBV 4,196 614 4,810 22,115 51,541 73,656 78,466 9
Road Traffic Injuries - Others 1,210 1,192 2,402 20,082 15,628 35,710 38,112 5
Chest trauma/Injury 229 277 506 18,036 18,756 36,792 37,298 4
Burn injuries 4,432 4,334 8,766 17,302 7,392 24,694 33,460 4
Road Traffic Injuries - Motor Vehicle 479 536 1,015 15,941 11,034 26,975 27,990 3
Ocular trauma and Burns 2,210 521 2,731 6,702 5,752 12,454 15,185 2
Road Traffic Injuries - Bicycles 336 429 765 5,679 3,404 9,083 9,848 1
Jaw injuries 136 324 460 3,573 3,334 6,907 7,367 1
Total 34,656 29,520 64,176 398,713 380,764 779,477 843,653 1.00

Source: MoH, DHIS2

The number of RTIs seen at health facilities has increased by 7.6% to 164,207 cases compared to 152,641
in FY 2022/23 giving a RTI incidence of 346 per 100,000 population in FY 2023/24 compared to 331 per
100,000 population in FY 2022/23.

FIGURE 11: TREND FOR RTIS SEEN AT HEALTH FACILITIES

169,136 164,207
155,188 152,641
125,662
97,059 97,402

50,665

FY16/17 FY17/18 FY18/19 FY19/20 FY20/21 FY21/22 FY22/23 FY23/24

Source: MoH, DHIS2

The rate of RTIs is higher in the urbanized areas of Kampala, Busoga and North Central regions. However,
not all RTIs are reported at the health facilities, suggesting that the actual burden may be higher than
documented.

MINISTRY OF HEALTH 21
FIGURE 12: TRENDS IN REGIONAL VARIATIONS OF RTIS RATES PER 100,000 POPULATION

National

West Nile

Tooro

South Central

Teso

North Central

Lango

Kigezi

Karamoja

Kampala

Bunyoro

Bukedi

Busoga

Bugisu

Ankole

Acholi

0 200 400 600 800 1000 1200 1400 1600

Source: MoH, DHIS2 2023/24 2022/23 2021/22

TABLE 13: NUMBER AND RATE PER 100,000 POPULATION OF RTIS BY REGION
2021/22 2022/23 2023/24
Region Number of RTIs Rate /100,000 Number of RTIs Rate /100,000 Number of RTIs Rate /100,000
Ankole 3,718 302 2,974 287 10,749 299
Acholi 21,334 364 19,168 429 9,841 481
Bugisu 10,865 199 10,350 170 4,131 174
Bukedi 5,660 203 11,751 421 6,579 236
Bunyoro 7,450 162 8,780 149 6,098 139
Busoga 9,726 506 10,253 513 13,958 630
Kampala 16,901 1,098 15,167 1,402 27,246 1,452
Karamoja 11,220 256 11,373 205 3,571 246
Kigezi 5,539 402 4,507 314 5,675 319
Lango 4,728 216 4,037 176 5,311 207
N. Central 6,158 565 4,734 498 16,914 558
S. Central 20,593 264 26,294 237 21,724 269
Teso 7,072 250 6,531 192 5,988 243
Tooro 7,156 288 5,597 303 10,209 302
West Nile 17,132 433 15,109 389 16,213 416
Total 155,252 338 156,625 341 164,207 357

22 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

2.2.4 Status of Emergency Medical Services in Uganda
The reported number of emergency cases was 828 cases per 100,000 population. Kampala reported the
highest number of emergency cases, followed by South-Central, Acholi, Busoga, and West Nile. In contrast,
Teso reported the lowest number of emergency cases during FY 2023/24. On average, 54.8% of all emer-
gency cases received care at the scene of the emergency, and only 7.4% arrived at health facilities using
ambulance services. Among these, 80.8% accessed care within one hour of arrival at the emergency units,
with a case fatality rate of 10.2% was recorded within the emergency units.

TABLE 14: STATUS OF EMERGENCY MEDICAL SERVICES IN THE COUNTRY DURING FY 2023/24

Emergency cases that arrive

received care at the scene

accessed care with 1hr in

Deaths in Emergency Unit

Emergency patients that

Emergency patients that

at the facility using an
Emergency Cases per

an emergency unit
Ambulance
Regions

100,000

%
Acholi 1,399 16,774 58.6% 2,086 7.3% 21,006 73.3% 1,277 4.5%
Ankole 617 11,629 52.3% 3,839 17.3% 12,738 57.3% 4,370 19.7%
Bugisu 562 3,199 23.9% 1,959 14.7% 10,652 79.7% 1,207 9.0%
Bukedi 672 14,940 79.6% 1,882 10.0% 17,568 93.6% 1,172 6.2%
Bunyoro 323 4,427 31.4% 678 4.8% 11,324 80.2% 839 5.9%
Busoga 1,349 13,020 43.6% 1,411 4.7% 24,335 81.4% 2,630 8.8%
Kampala 2,546 35,867 75.1% 2,173 4.6% 36,736 76.9% 4,675 9.8%
Karamoja 346 846 16.8% 951 18.9% 4,894 97.4% 395 7.9%
Kigezi 688 4,196 34.3% 649 5.3% 12,055 98.5% 505 4.1%
Lango 688 13,759 77.9% 1,059 6.0% 15,964 90.4% 7,088 40.1%
North Central 604 41,242 84.5% 2,380 4.9% 39,651 81.2% 3,692 7.6%
South Central 2,138 18,940 29.2% 2,549 3.9% 54,971 84.8% 6,941 10.7%
Teso 165 2,568 63.4% 375 9.3% 3,727 92.0% 410 10.1%
Tooro 399 9,248 68.5% 1,031 7.6% 8,630 64.0% 2,135 15.8%
West Nile 1,018 17,843 45.0% 5,325 13.4% 33,113 83.4% 1,660 4.2%
Total 828 208,498 54.8% 28,347 7.4% 307,364 80.8% 38,996 10.2%

The National Average Ambulance utilization was 7.5%. Karamoja had the highest proportion of emergency
patients evacuated by ambulance at 18.9% followed by Ankole (17.3%), Bugisu (14.7%), and West Nile
(13.4%). On the other hand, South-Central reported the lowest utilization of ambulance services at 3.9%.

The decline in emergency patients arriving at health facilities by ambulance over the past five years high-
lights gaps in reporting from the different departments in health facilities and resource constraints like
limited fuel and staffing. Addressing these gaps requires better inter-program collaboration, standardized
reporting, staff training, and improved monitoring to accurately capture ambulance service utilization and
enhance emergency care delivery.

MINISTRY OF HEALTH 23
 14: TREND OF EMERGENCY PATIENTS WHO ARRIVED AT HEALTH FACILITY IN AN AMBULANCE
FIGURE 13:

12%
10% 9.6% 9.7%
7.5%

FY2019/20 FY2020/21 FY2021/22 FY2022/23 FY2023/24

FIGURE 14: REGIONAL TREND OF EMERGENCY PATIENTS WHO ARRIVED AT HEALTH FACILITY IN AN AMBULANCE

Karamoja 18.9% Karamoja 25.7%

Ankole 17.3% West Nile 18.0%
Bugisu 14.7% Ankole 14.4%
West Nile 13.4% Bugisu 11.7%
Bukedi 10.0% Bukedi 10.6%
Teso 9.3% Bunyoro 8.3%
Tooro 7.6% North Central 8.3%
Acholi 7.3% Teso 7.5%
Lango 6.0% Acholi 6.9%
Kigezi 5.3% Kigezi 6.7%
North Central 4.9% Kampala 6.1%
Bunyoro 4.8% Busoga 5.8%
Busoga 4.7% Tooro 5.2%
Kampala 4.6% Lango 5.0%
South Central 3.9% FY 2023/24 South Central 4.9% FY 2022/23

2.2.5 Mental Health Conditions among OPD Attendance

Mental health conditions contributed 1% (616,175/45,428,463) of all OPD attendances.

An increase of 16% was observed in the number of outpatient attendances due to mental health conditions
in FY 2023/24.

OPD attendance due to mental health conditions were highest among females 20 years above (41%)
compared to other population groups. OPD attendances due to alcohol use disorder and substance (drug)
use disorders are up to three times among males more than females.

TABLE 15: MENTAL HEALTH CONDITIONS AMONG OPD ATTENDANCES BY AGE GROUP IN FY 2023/24
Diagnosis Under 5 5-19 years 20+Yrs Total
Male Female Male Female Male Female
Anxiety Disorders 146 183 3,216 6,691 13,473 24,012 47,721
Anxiety Disorder due to GBV 12 17 564 2,728 2,658 8,118 14,097
Unipolar Depressive Disorder - - 6,364 14,222 15,933 59,758 96,277
Bipolar disorder 127 117 2,878 4,396 21,735 29,193 58,446
Schizophrenia 0 0 1,202 1,377 13,115 13,149 28,843
Post -traumatic stress disorder 147 85 1,057 1,463 4,704 4,940 12,396
Epilepsy 9,072 7,244 55,276 49,177 74,469 85,213 280,451
HIV related psychosis - - 1,039 631 3,420 4,523 9,613

24 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

Diagnosis Under 5 5-19 years 20+Yrs Total
Male Female Male Female Male Female
Alzheimer's disease - - - - 289 347 636
HIV related dementia - - - - 302 390 692
Alcohol-related Dementia - - - - 556 306 862
Dementia due to stroke (Diabetes, - - - - 688 901 1,589
Hypertension)
Other form of Dementia - - - - 1,462 1,994 3,456
Other Adult Mental Health Conditions - - 2,366 2,549 12,009 13,604 30,528
Internet addiction - - 78 99 456 274 907
Alcohol Use Disorder - - 844 569 8,526 3,201 13,140
Substance (Drug) use Disorder - - 1,180 720 6,905 2,686 11,491
Delirium - - 34 23 1,509 355 1,921
Intellectual disability - - 754 578 311 297 1,940
Autism spectrum disorders 213 180 353 226 101 96 1,169
Total 9,717 7,826 77,205 85,449 182,621 253,357 616,175
Percentage 2% 1% 13% 14% 30% 41% 100%
Source: MoH, DHIS2

Epilepsy remains the most common mental health condition constituting 45.5% of attendances followed
by Unipolar Depressive Disorder at 15.6% and bipolar disorders at 9.5%. The number of at¬tendances
due to unipolar depressive disorder increased significantly by 53% from 44,824 in FY 2022/23 to 96,277
in 2023/24 (15).

TABLE 16: MENTAL HEALTH CONDITIONS AMONG OPD ATTENDANCES

No. Diagnosis 2021/22 2022/23 2023/24
Number % Number % Number %
1 Epilepsy 251,979 55.4 263,843 50.7 280,451 45.5
2 Unipolar Depressive Disorder 18,378 4 44,824 8.6 96,277 15.6
3 Bipolar disorder 44,234 9.7 50,657 9.7 58,446 9.5
4 Anxiety Disorders 40,222 8.8 40,764 7.8 47,721 7.7
5 Other Adult Mental Health Conditions 21,232 4.7 27,744 5.3 30,528 5.0
6 Schizophrenia 23,649 5.2 26,471 5.1 28,843 4.7
7 Anxiety Disorder due to GVB 7,518 1.7 11,078 2.1 14,097 2.3
8 Alcohol Use Disorder 10,468 2.3 11,038 2.1 13,140 2.1
9 Post-Traumatic Stress Disorder 13,845 3 13,293 2.6 12,396 2.0
10 Substance (Drug) use Disorder 6,155 1.4 7,096 1.4 11,491 1.9
11 HIV related psychosis 8,143 1.8 9,150 1.8 9,613 1.6
12 Other forms of Dementia 2,676 0.6 3,355 0.6 3,456 0.6
13 Intellectual disability 805 0.2 3,776 0.7 1,940 0.3
14 Delirium 684 0.2 1,012 0.2 1,921 0.3
15 Dementia due to stroke 1,283 0.3 1,325 0.3 1,589 0.3
16 Autism spectrum disorders 950 0.2 1,110 0.2 1,169 0.2
17 Internet addiction 971 0.2 2,097 0.4 9,07 0.1
18 Alcohol-related Dementia 975 0.2 980 0.2 862 0.1
19 HIV related dementia 544 0.1 412 0.1 692 0.1
20 Alzheimer’s disease 442 0.1 589 0.1 636 0.1
Total 455,153 100 520,614 100 616,175 100

Except for Acholi, Tooro and Kampala, all other regions reported an increase in OPD attendance due to
epilepsy. West Nile region still has the highest number of OPD attendances due to epilepsy followed by
Busoga and North Central regions (Figure 15).

MINISTRY OF HEALTH 25
FIGURE 15: REGIONAL VARIATIONS FOR OPD ATTENDANCE DUE TO EPILEPSY

West Nile 30483

29220

Busoga 26942
22849

25435
North Central
24714

South Central 24542

22267

Ankole 24174
22582

Bukedi 23757
17545
19760
Bunyoro
19151

Kampala 19382
20185

Tooro 17700
19083

Kigezi 17185
15593

Acholi 14747
17817

Teso 13532
12001

Bugisu 11024
10285
9888
Lango
9093

Karamoja 1900 FY 2023/24 FY 2022/23

1637

2.2.6 Inpatient Admissions

Inpatient admissions increased by 5.7% from 3,385,664 in 2022/23 to 3,579,106 in FY 2023/24.

FIGURE 16: TRENDS IN INPATIENT ADMISSIONS

FY 2023/24 3,579,106
FY 2022/23 3,385,664
FY 2021/22 3,207,323
FY 2020/21 2,962,564
FY 2019/20 3,014,693

Source: MoH DHIS 2

Admissions for children under 5 years accounted for 36.1% of all admissions compared to 38.7% in
FY 2022/23. There is no significant variation in admissions for males and females under 5 years of age.
Admissions for females above 5 years accounted for 41.6% of all admissions compared to 22.4%
among males above 5 years. Maternal health conditions like abortions and pregnancy complications lead
to the higher admissions for adult women.

26 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

TABLE 17: INPATIENT ADMISSION BY AGE GROUP
FY 0-4 Yrs 5+ Yrs Total
Male Female Total Male Female Total
2023/24 Number 569,300 424,467 993,767 616,464 1,147,338 1,763,802 2,757,569
% 20.6% 15.4% 36.1% 22.4% 41.6% 63.9% 100%
2022/23 Number 687,850 622,791 1,310,641 760,652 1,314,371 2,075,023 3,385,664
% 20.3% 18.4% 38.7% 22.5% 38.8% 61.3% 100%
2021/22 Number 635,566 567,314 1,202,880 729,573 1,256,018 1,985,591 3,188,471
% 19.9% 17.8% 37.7% 22.9% 39.4% 62.3% 100%

By level of care, the highest number (31.7%) of patients admitted in health facilities were at HC III level
followed by general hospitals (25.7%) and HC IVs (23.8%). However, in terms of workload, RRHs have
the highest inpatient workload having an average of 67 new admissions per day, compared to 13 in general
hospitals. This could be explained by their higher bed capacity but also weak referral system whereby
patients with less severe or less complicated conditions walk into the referral hospitals for care.

TABLE 18: NUMBER OF INPATIENT ADMISSIONS BY LEVEL OF CARE

FY 2022/23 FY 2023/24
No of HFs in DHIS2

No of HFs in DHIS2
Admissions in FY

Admissions in FY
Level of Facility

admissions per

admissions per

admissions per

admissions per
Average new

Average new
Number of

Number of
Average

Average
Percent

Percent
2022/23

2023/24
year

year
day

day
Clinic 394 73,964 2.2 118 1 418 24,216 0.7 58 0.16
HC II 3,303 78,101 2.3 17 1 3,612 69,738 1.9 19 0.05
HC III 1,879 1,030,744 30.4 513 2 2,040 1,133,541 31.7 556 2
HC IV 245 804,583 23.8 3,102 9 262 851,147 23.8 3,249 9
General 183 896,615 26.5 4,482 13 189 919,717 25.7 4,866 13
Hospital
RRH 16 414,938 12.3 24,409 69 17 416,328 11.6 24,490 67
NRH 5 86,719 2.6 15,865 45 8 164,419 4.6 20,552 56
Total 6,025 3,385,664 100 48,506 137 6,546 3,579,106 100 547 150

Most (75%) of patient admissions were in government health facilities followed by PNFP health facilities
(19.8%). Among the PNFP and PHP health facilities most admissions were at general hospital level.

TABLE 19: INPATIENT ADMISSIONS BY HEALTH FACILITY LEVEL AND OWNERSHIP IN FY 2023/24
Diagnosis Government PNFP PHP Total
Number % Number % Number % Number %
NRH 164,419 6% 0% 0% 164,419 5%
RRH 416,372 15% 0% 0% 416,328 12%
General Hospitals 531,294 20% 323,940 46% 64,483 40% 919,717 26%
Health Centre IVs 781,509 29% 54,475 8% 15,163 9% 851,147 24%
Health Centre IIIs 800,695 30% 291,050 41% 41,796 26% 1,133,541 32%
Health Centre IIs / Clinics 13,460 0% 39,963 6% 40,531 25% 93,954 3%
TOTAL 2,707,749 100% 709,428 100% 161,973 100% 3,579,106 100%

The number of patient admissions has increased from 68.2 per 1,000 in 2021/22, to 74 per 1,000 popula-
tion in 2022/23 to 76 per 1,000 population in 2023/24. Kampala still has the highest admission rate, though
it reduced from 190 per 1,000 population in 2022/23 to 135 per 1,000 population in 2023/24. There was
significant increase in the admission rate in Karamoja, Kigezi, Teso and Lango regions by 40%, 59%, 62%
and 98% respectively. (Table 20)

MINISTRY OF HEALTH 27
TABLE 20: TRENDS IN PATIENT ADMISSION RATES PER 1,000 POPULATION BY REGION
FY 2023/24 FY 2022/23 FY 2021/22
Regions Population No of Health No. of Admissions Admissions Admissions
facilities admissions per 1,000 per 1,000 per 1,000
population population population
Acholi 2,049,002 315 236,533 115 121 94.2
Ankole 3,782,030 520 254,965 67 74 57.1
Bugisu 2,358,400 271 194,311 82 92 74.6
Bukedi 2,470,600 270 195,887 79 81 82.9
Bunyoro 3,266,674 284 183,289 56 64 56
Busoga 4,577,600 561 293,245 64 61 49.7
Kampala 1,915,802 902 258,220 135 190 127.5
Karamoja 1,285,000 151 125,913 98 70 84.5
Kigezi 1,541,100 347 142,340 92 58 92.1
Lango 2,652,500 247 215,769 81 41 63.3
North Central 4,746,900 697 322,243 68 52 61.4
South Central 6,331,300 921 304,094 48 124 46.2
Teso 2,281,800 249 221,078 97 60 68.5
Tooro 3,709,245 435 294,515 79 111 81
West Nile 4,283,825 377 337,960 79 66 74
National 47,251,778 6,547 3,580,362 76 74 68.2
Source: MoH DHIS2

FIGURE 17: TRENDS IN INPATIENT ADMISSIONS PER 1,000 POPULATION BY REGION

200

180

160

140

120

100

80

60

40

20

0
li

le

isu

ro

la

zi

l
so

ro

ile

l
ra

tra

na
d
ho

og

oj

ng
ge
ke

pa
ko

o
yo

tN
Te
nt
g

tio
n

To
Ac

La
s

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An

Bu

Bu

m
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Ce

Ce
ra
Bu

es

Na
Bu

Ka

Ka

W
rth

th
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No

So

2021/22 2022/23 2023/24

2.2.7 Conditions Leading to Health Facility Admissions

The commonest cause of health facility admissions was malaria (29.9%) followed by urinary tract
infections (6.8%), pnuemonia (4.9%) and septicaemia at (3.6%). The number of admissions due to
anaemia declined by 19% from 111,370 in 2022/23 to 90,466.

28 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

TABLE 21: LEADING CAUSES OF ADMISSIONS IN FY 2023/24
Condition 0-4 Yrs Total < 5 5+Yrs Total >5 Total %
Male Female Years Male Female Years

Malaria 168,016 154,657 322,673 152,176 242,774 394,950 717,623 26

Urinary Tract Infections 101,960 2,355 104,315 18,042 65,143 83,185 187,500 7
Pneumonia 48,879 44,866 93,745 18,652 21,836 40,488 134,233 5
Malaria in pregnancy - - - - 106,425 106,425 106,425 4
Septicemia 28,940 26,105 55,045 18,604 25,033 43,637 98,682 4
No Pneumonia - Cough and cold 26,826 25,325 52,151 17,835 25,467 43,302 95,453 3
Anaemia 21,861 17,673 39,534 24,322 26,610 50,932 90,466 3
Peptic Ulcer Disease 904 1,083 1,987 24,444 50,605 75,049 77,036 3
Abortions due to other causes - - - - 69,992 69,992 69,992 3
Diarrhea - Acute 27,193 21,806 48,999 6,985 9,574 16,559 65,558 2
Other Complications of pregnancy - - - - 50,312 50,312 50,312 2
Injuries - (Trauma due to other causes) 3,206 2,482 5,688 27,647 16,474 44,121 49,809 2
Hypertension (old cases) 44 95 139 13,339 24,129 37,468 37,607 1
Other Neonatal Conditions 19,227 15,926 35,153 - - - 35,153 1
Sickle cell disease 6,077 5,044 11,121 11,630 11,961 23,591 34,712 1
Motorcycle accidents 1,068 1,086 2,154 21,775 10,314 32,089 34,243 1
Neonatal Sepsis 0-7days 14,209 12,282 26,491 - - - 26,491 1
Premature baby 11,295 11,238 22,533 - - - 22,533 1
Diabetes mellitus (re-attendances) 71 170 241 9,778 12,371 22,149 22,390 1
Obstructed labour - - - - 22,390 22,390 22,390 1
Total all others 89,524 82,274 171,798 251,235 355,928 607,163 778,961 28
Total 569,300 424,467 993,767 616,464 1,147,338 1,763,802 2,757,569 100
Source: MoH DHIS2

2.2.8 Inpatient Mortality (Deaths)

The total number of deaths reported from health facilities further declined by 9% to 48,315 deaths in FY
2023/24 compared to the 6.4% decline to 53,222 deaths in FY 2022/23 from 56,878 deaths in FY 2021/22.
The GHs still registered the highest proportion of inpatient deaths having 33% of the total deaths, followed
by the RRHs with 29%, and NRHs 16%.

TABLE 22: TRENDS IN THE NUMBER OF INPATIENT DEATHS BY LEVEL

FY 2021/22 FY 2022/23 FY 2023/24

No. of deaths Percent No. of deaths Percent No. of deaths Percent
NRH 3,232 6% 3,628 7% 7,768 16%
RRH 12,662 22% 14,269 27% 14,052 29%
General Hos-pital 20,575 36% 16,330 31% 15,742 33%
HC IV 9,014 16% 6,220 12% 5,229 11%
HC III 7,791 14% 8,783 17% 5,116 11%
HC II 376 1% 527 1% 281 1%
Clinic 3,228 6% 3,465 7% 127 0%
Total 56,878 100% 53,222 100% 48,315 100%
Source: MoH DHIS2

Neonatal conditions have remained the leading cause of health facility deaths among all ages
accounting for 9.4% this FY compared to 10.3% in FY 2022/23; followed by pneumonia (8.2%);
malaria (6.5%), premature baby (4.8%); anaemia (4.5%); and hypertension (2.8%). (Table 23)

MINISTRY OF HEALTH 29
The number of malaria deaths reported have declined significantly by 31% by from 4,245 deaths in FY
202/23 to 2,917 deaths in FY 2023/24 making it the third cause of deaths. This may be attributed to early
detection and improved case management as well as Integrated Community Case Management (ICCM)
for children under 5 years.

Among the population above years, hypertension (old cases and new cases) is the second most
cause of death reported in health facilities.

There is urgent need to strengthen screening for NCDs up to community level with special focus
on hypertension, increase community awareness on early seeking treatment, capacity building for
health workers in management of hypertension management and increasing supply of antihyper-
tensives at all levels of care.

TABLE 23: LEADING CAUSES OF DEATH IN FY 2023/24

Condition 0-4 Yrs Total < 5 5+Yrs Total >5 Total %
Male Female Years Male Female Years

Neonatal conditions (all) 2,297 1,911 4,208 0 0 0 4,208 9.4

Pneumonia 1,448 546 1,994 965 739 1,704 3,698 8.2
Malaria 867 700 1,567 702 648 1,350 2,917 6.5
Premature baby 1,146 1,015 2,161 0 0 0 2,161 4.8
Anaemia 431 316 747 704 569 1,273 2,020 4.5
Hypertension (old cases) 73 20 93 506 642 1,148 1,241 2.8
Septicemia 281 178 459 271 253 524 983 2.2
Motorcycle accidents 61 34 95 609 227 836 931 2.1
TB 63 20 83 524 305 829 912 2.0
Diabetes mellitus (re-attendances) 20 4 24 444 436 880 904 2.0
Motor Vehicle accidents 54 18 72 602 230 832 904 2.0
Stroke/Cardiovascular Accident 22 6 28 405 416 821 849 1.9
Urinary Tract Infections 310 116 426 106 254 360 786 1.8
Injuries - (Trauma due to other causes) 89 34 123 447 165 612 735 1.6
Peptic Ulcer Disease 244 29 273 189 202 391 664 1.5
Respiratory distress 233 199 432 89 72 161 593 1.3
Hypertension (newly diagnosed cases) 54 33 87 195 304 499 586 1.3
Heart failure 23 20 43 241 294 535 578 1.3
Other Cardiovascular Diseases 30 16 46 211 241 452 498 1.1
Chronic Kidney Diseases 5 58 63 217 172 389 452 1.0
Total all others 3,019 1,370 4,389 7,047 6,850 13,897 18,286 40.7
Source: MoH DHIS2

Health facility deaths due to injuries increased by 32.2% from 2,399 to 3,174 in FY 2023/24. There is signif-
icant increase in number of deaths die to motor vehicle accidents.

30 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

TABLE 24: DEATHS DUE TO INJURIES
Cause FY 2022/23 FY 2023/24
Number % Number %
Motor Cycle 641 26.7% 932 29.4%
Motor Vehicle 566 23.6% 904 28.5%
Injuries - (Trauma due to other causes) 609 25.4% 744 23.4%
Others 324 13.5% 326 10.3%
Jaw injuries 30 1.3% 102 3.2%
Snakes bites 79 3.3% 93 2.9%
Bicycles 31 1.3% 14 0.4%
Animal bites - Domestic 74 3.1% 28 0.9%
Animal bites - Insects 24 1.0% 25 0.8%
Animal bites - Wild 21 0.9% 6 0.2%
TOTAL 2,399 100.0% 3,174 100.0%

Source: MoH DHIS2

2.3 PERFORMANCE AGAINST THE KEY HEALTH OUTCOME

INDICATORS
For FY 2022/23, 27 (84.3%) out of the 32 key outcome indicators were assessed and 5 (15.6%) were not
assessed due to lack of data. Out of the 27, the sector achieved 40.8% (11/27) compared to 42% (11/26) in
FY 2022/23; made some progress though did not achieve the annual target for 25.9% (7/27) compared to
4% (1/26) the previous year; minimal, no progress or decline in 33.3% (9/27) compared to 54% (14/26) in
FY 2022/23. This shows some improvement in performance over the last year.

Slow progress or non-achievement of some targets was due to very low utilization of ITNs (62%) despite
household coverage being at 99% after mass net distribution (behavioral issue and not access), low reten-
tion rates of mother-baby pair on ART and loss to follow-up, inadequate follow-up of lost PLWA on ART
especially among adolescents, children, pregnant and breast-feeding women, high numbers of leprosy
patients in West Nile & Tooro region due influx of refugees from Congo and South Sudan, stock out of HepB
vaccines upon roll out of HepB birth dose, limited awareness about cancer screening services as well as
poorly equipped facilities.

Under maternal health services there is late ANC attendance affecting uptake of IPTp and ANC 4th visit
coverage, inadequate supplies for aneamia screening during prenatal visits, and lack of blood transfusion
services at several HC IVs for provision of CeMNOC.

TABLE 25: SUMMARY OF PERFORMANCE AGAINST THE KEY HEALTH OUTCOME INDICATORS
FY Achieved Progress Not Achieved Indicators Not
Assessed
Number % Number % Number % Number %
2023/24 11 40.8% 7 25.9% 9 33.3% 5 15.6%
2022/23 11 42% 1 4% 14 54% 6 18.75%
2021/22 17 63% 6 22% 4 15% 5 15.6%
2020/21 14 50% 6 21% 8 29% 4 12.5%

Table 26 shows the trends in performance for the 32 key outcome indicators in relation to the baseline and
annual targets.

MINISTRY OF HEALTH 31
TABLE 26: PERFORMANCE AGAINST THE KEY OUTCOME INDICATORS
No. Indicator Baseline Performance Performance Performance Target Performance Remarks
2019/20 2020/21 202122 2022/23 2023/24 2023/24
1. DPT3HibHeb3 coverage 87% 87% 91% 87% 98% 95% Registered 9% increase in coverage. 50% of LGs had DPT3
coverage of less than 90%.
2. Measles immunization coverage under 1 year (MR 1) 88% 86% 91% 88% 94% 94% Increased by 6.8%
Currently responding to measles outbreak in Nakaseke,
Moroto, Kampala, Mpigi & Napak.
3. Use of insecticide-treated bed nets for malaria prevention 68% No data No data No data 89% 62% Very low utilization of ITNs despite household coverage
being at 99% after mass net distribution
4. % of the population with knowledge and practice correct No data No data No data No data 75% No data Source is Malaria Indicator Survey which is yet to be
malaria prevention, control and management measures. conducted.
5. HIV positive pregnant women initiated on ARVs for EMTCT 92% 96% 98% 94% 94% 95% This performance was majorly due to strengthened testing
and case identification and use of the Audit tool
6. HIV exposed infants with first DNA/PCR test within 2 56% 71% 88% 91% 95% 91% Loss to follow up, self-stigma, denial, low male
months involvement, sociocultural issues and GBV.
7. ART Coverage 86% 91% 95% 98% 95% 97% There is continued strengthening of patient's literacy,
(1,492,721 / improved linkage and retention into care.
1,444,813)
8. ART Retention rate at 12 months 76% 78% 83% 77% 95% 82% Based on data for all ages for the Apr - Jun 2024.
(24,809 / There is inadequate follow-up of lost clients especially
30,158) among adolescents, children, pregnant and breast-feeding
women
9. ART Viral Load Suppression Rate among PLHAs on 89% 93.50% 88% 94% 94% 96% Lowest among children 0-9 years (87%), adolescents 10-19
treatment years (89%); and males (92%)
10. TB Case Notification Rate 152/100,000 161/100,000 198/100,000 212/100,000 179/100,00 198/100,000 High notification due to the accelerated TB prevention
interventions like CAST+, Community TB screen using
mobile clinics
11. Leprosy patients presenting to health facilities with Grade No data 12.9% 21.5% 19% 8% 10.5% 7.5% reduction
2 disability at the time of diagnosis
Highest in West Nile with 79% (244) of the cases in FY
2023/24 due influx of refugees from Congo and South
Sudan
12. Target population fully vaccinated against COVID-19 Na 11% 57% 58% 90% NA Vaccination activities stopped in May, 2023
13. Zoonotic disease detected and managed timely 100% 100% 100% 100% 100% 100% All the 4 zoonotic diseases were responded and contained
• Congo Crimean Hemorrhagic Fever,
• Rift Valley Fever,
• Anthrax and
• Rabies.
14. Target districts (51) that achieved elimination of blinding No data 90% 90% 90% 90% 96% Moroto and Amudat districts are still carrying out mass
trachoma treatments and surveys for Trachoma.
No. Indicator Baseline Performance Performance Performance Target Performance Remarks
2019/20 2020/21 202122 2022/23 2023/24 2023/24
15. % of target population vaccinated against Hepatitis B by
dose
1st dose 78% 77% 59% 76% 80% 28% Hepatitis B vaccination campaign ended in 2022.
The current target is facility-based testing and vaccination
2nd dose 39.20% 51% 29% 48% 80% 7%
of those who test negative.
3rd dose 15.60% 30% 23% 24% 80% 3% Uptake remains slow because of the stigma, low
awareness, and misinformation about the disease.

16. Tobacco non-smoking rate 90.4% 97% 97% 84% 94% 91.7% Only 8.3% of adults 18 – 69 years smoke
Males 83.2% 85% 15% smoke
Females 97.1% 97.6% 2.4% smoke
17. Girls immunized against cervical cancer by 10 years 40% 58.6% 56% 74% 70% 75% Intensified vaccination during the ICHD activities
18. Cervical cancer screening in women aged 30-49 years 9.9% No data No data No data 40% 23% STEPS 2023.
There is limited awareness and access to cervical cancer
screening
19. Breast cancer screening in women aged 30 - 49 years 7% 11% No data No data 40% No data Only 7% of women aged 15 – 49 years have undergone
breast cancer screening. UBOS 2022
20. Prostate cancer screening in men above 40 years 2% No data No data No data 40% No data
21. IPTp3 coverage for pregnant women 30% 50% 57% 54% 77% 54% Late ANC attendance and stock out of SP. ANC attendance
in 1st trimester is only 37%
22. Anaemia screening at first prenatal visit 49% 21% 23% 23% 60% 23% Inadequate supply of HB testing kits and reagents
23. ANC 4th visit coverage 42% 48% 59% 46% 54% 49.1% Increased by 6.3%.
(1,119,557 /
2,278,100)
24. Health facility deliveries 62% 64% 68% 64% 72% 65% Poor reporting especially by private health facilities.
25. HC IVs providing CeMNOC 51% 50% 54 52% 72% 60% 15% increase but still far from the target
(103/203) (108/218) (131/241) (132/254 (159/266)
26. Maternal deaths among 100,000 health facility deliveries 92 92 83 90.3 65 82.7 Still far above the target of 65/100,000
27. Facility based fresh still births (per 1,000 deliveries) 9 7.7 7 6.4 5 5.7 11% reduction though above the target of 5/100,000
28. % of Maternal deaths reviewed 72% 76% 89.4% 89% 90% 95% 6.7% increase. Good performance realized due to the Local
Maternity Network initiative.
29. % of Perinatal deaths reviewed 9.7% 32% 42.2% 43% 42% 61% 42% increase due to the Local Maternity Network
initiative.
30. Under-five Vitamin A second dose coverage 30% 48.2% 66.3% 72% 70% 47% Data capture challenges
31. % of pregnant women receiving ferrous sulphate/folate No data 68% 66% 67% 60% 67%
supplement on first visit.
32. Young people in school accessing age-appropriate No data No data No data No data No data No data collection system
information

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 33

1. DPT3 Coverage
During FY 23/24, DPT3 coverage increased by 9% from 87% in FY 2022/23 to 92% (1,871,756/2,045,203).
DPT1 coverage was 92% implying high access of services though 8% (163,616) of under 1-year children
did not finish their pentavalent (DPT) doses and therefore were under-immunized during the year. LGs with
the lowest DPT3 coverage are Zombo (41%), Yumbe (43%), Wakiso (51%), Tororo (51%), Terego (53%),
Soroti City (58%), Soroti (58%), Sironko (61%), Sheema (63%) and Serere (64%).

FIGURE 18: MAP SHOWING DPT3 COVERAGE BY LGS IN FY 23/24

50% of the LGs had DPT3 coverage of less than 90% based on the WHO recommendation and these
should be targeted for defaulter tracking with catch-up vaccination.

DPT dropout rate (DoR) was on average at 4% which is within the WHO recommended acceptable DoR
range of 0-10%.

Some LGs had very high DPT dropout rates i.e., Sembabule (15%), Lyantonde (14%), Butebo (13%),
Namutumba (13%), Rakai (12%), Nwoya (11%), Amuru (11%) and Kayunga (11%).

There is need to improve defaulter tracking in LGs with high dropout rates and employ quality
improvement approaches in those with negative dropout rates.

DPT1 Coverage and Zero Dose Children by LG:

DPT1 coverage during FY 2023/2024 increased by 1% from 94% in FY 2022/2023 to 95%
(1,947,946/2,045,203) in FY2023/2024, with 5% (102,260) of children <1 year not vaccinated. The 10 LGs
with the lowest DPT1 coverage include Obongi (40%), Soroti City (45%), Madi-Okollo (54%), Lamwo
(56%), Ntoroko (56%), Kisoro (63%), Kaabong (64%), Karenga (65%), Adjumani (66%) and Sheema (66%).
These LGs with low DPT1 coverage are more likely to have more zero Dose children, thereby posing a
threat to outbreak occurrence.

Zero Dose children declined slightly to 5% (102,260) during the FY 2023/2024 compared to 6%
(138,434) during FY 2022/2023.

34 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

2. Measles Rubella (MR) immunization coverage under one year
MR1 coverage increased from 88% (1,722,982/1,969,033) in FY 22/23 to 94% (1,927,993/2,045,203) in FY
2023/24.

The bottom 10 LGs contributing to low MR1 coverage are Zombo (40%), Yumbe (48%), Wakiso (50%),
Tororo (53%), Terego (55%), Soroti City (57%), Soroti district (58%), Sironko (59%), Sheema (60%), and
Serere (61%).

FIGURE 19: MR1 COVERAGE FY 2023/24

The MoH introduced the second year of life dose (MR2) to give children sufficient protection and
immunity in the second year of life at 18 months. However, the coverage is still very low at 41%
implying that many children have not completed their full vaccination doses. Mobilization needs to
be escalated to improve coverage for MR2 to reduce the risks of measles outbreaks

MINISTRY OF HEALTH 35
FIGURE 20: MEASLES OUTBREAK DISTRICTS FY 2023/24

The country registered 25 measles outbreaks largely in Bunyoro and West Nile regions during the FY
2023/24.

To assess the access and utilization of immunization services, Reach Every District / Reach Every Child
(RED/REC) categorization analysis was used. 62 LGs were Category 1 (good access and good utilization
of immunization services), 22 LGs were in category 2 (Good access but poor utilization of immunization
services), 46 LGs were in Category 3 (Poor access but good utilization immunization services).

16 of the LGs i.e., Karenga, Kaberamaido, Dokolo, Mbale, Kazo, Napak, Kotido, Jinja City, Rakai,
Kassanda, Arua and Sembabule have both poor access and poor utilization of immunization
services. There is need to give priority in terms of focused interventions such as big catch-up vacci-
nation strategy, focused supportive supervision and mentorship including ensuring update and
implementation of micro-plans to reach every child in these LGs and hence reduce the number of
zero dose children.

3. Use of insecticide-treated bed nets for malaria prevention

The UDHS 2022 findings showed that all (99.9%) households surveyed own at least once insecticide
treated net (ITN). In households with at least one ITN, 62% of the de facto population slept under an
ITN the night before the survey.

The Government of Uganda through the MoH implemented the fourth Long-Lasting Insecticidal Nets
(LLINs) Universal Coverage Campaign (UCC). The overall goal was to reduce malaria morbidity and mortality
by achieving universal coverage through the distribution of 27.8 million nets throughout the country. A total
10 million households were reached with a household coverage of 91% (10,976,458/12,040,171) achieved.

According to UDHS 2022, almost nine in ten (87%) of mosquito nets were obtained from a mass distribu-
tion campaign; the next largest source of nets is from the shop/market (7%). 80% nets in urban areas were
obtained from a mass distribution campaign, compared to 90% nest in the rural areas. Similarly, 69% nets
in Kampala region were obtained from a mass distribution compared to 94% in Busoga region.

36 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

The proportion of the de facto population FIGURE 21: TRENDS IN ITN OWNERSHIP (% HOUSEHOLDS OWNING AT
with access to an ITN (% of the population LEAST ONE ITN)
that could sleep under an ITN if each ITN 120%
in the household were used by up to two 100%
people) increased from 45% in 2011 to 100% 90%
83%
79% in 2014-15, then decreased to 65% 78%
80%
in 2016, before again increasing to 72% 60%
in 2018-19 and 99% in 2022. Similarly, the 60%
proportion of the de facto population that
slept under an ITN the night before the 40%
survey increased from 35% in 2011 to 69%
20%
in 2014-15, then decreased to 55% in 2016,
before increasing again to 59% in 2018-19 0%
and 62% in 2022. (Figure 22). UDHS UMIS UDHS UMIS UDHS
2011 2014-15 2016 2018-19 2022

While the behavioral gap between ITN

access and use had stagnated at 10%
between 2011 and 2016, and slightly FIGURE 22: TRENDS IN ITN ACCESS AND USE
increased to 13% in 2018-19, it has since 120%
sharply increased to 37% in 2022. The are 99%
no variations in ITN access across house- 100%
79%
hold wealth quintiles, with the lowest 72%
80%
at 100% and the highest 99%. A similar 65%

pattern was observed in ITN use, where 60% 69%

45%
the population that slept under an ITN the 59% 62%
55%
40%
night before the survey was 63% for the
lowest quintile, and 62% for the highest. 20%
35%
(UDHS 2022)
0%
The Uganda Malaria Reduction Strategy UDHS UMIS UDHS UMIS UDHS
2011 2014-15 2016 2018-19 2022
envisions universal coverage with ITNs
through mass campaigns, and mainte- Acess to ITN Slept under ITN
nance through routine distribution. These
interventions primarily target vulnerable
groups such as children under 5 and preg-
FIGURE 23: ITN USE BY POPULATION GROUP
nant women. 66% children under 5 years
slept under an ITN the night before the
70%
survey and 70% pregnant women aged 15
– 49 years slept under an ITN.
66%
More pregnant women aged 15 – 49 years
in the urban areas (75%) slept under an ITN
the night before the survey compared to 62%
their rural counterparts (68%). There were
also variations in the proportion of children
under 5 who slept under an ITN with 68%
in the urban and 65% in the rural areas. Household Pregnant Children
population Women under 5

MINISTRY OF HEALTH 37
The use of an ITN the night before the survey among children under 5 varies across regions from 53% in
Elgon to 73% in Lango. Similarly, the proportion of pregnant women who slept under an ITN ranges from
49% in Elgon to 81% in Kigezi. (Figures 24 and 25)

FIGURE 24: ITN USE BY CHILDREN UNDER 5 BY REGION

FIGURE 25: ITN USE BY PREGNANT WOMEN BY REGION

The behavioral gap between ITN access and use has sharply increased from 13% in 2018-19 to 37%
in 2022. There is need to intensified BCC on ITN use as one of the key interventions for malaria
reduction.

38 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

4. HIV positive pregnant women initiated on ARVs for EMTCT increased from 94% in the previous
review period to 95% in the review period.
Women on ART for eMTCT at the first ANC with a suppressed VL and 1st DNA/PCR within 2 Months was
all less than 95%. Further analysis shows improvements with exposed infants receiving in prophylactic
infant ART from 85% in the previous FY2022/23 to 88% in FY2023/24. Nine (9) in every ten (10) 94%
Pregnant Women were tested for syphilis for first time during this pregnancy, 83% of those identified syph-
ilis positives were initiated on treatment. Regarding retention rates at 12 months Post ART initiation; the
bottom five performing LGs were Kalangala (10%), Kole (42%), Amudat (50%), Kapchorwa (56%, Otuke
(56%) and Kitagwenda (57%) Kibaale. Similarly, the bottom five performing LGs included Amuru (68%),
Karenga (64%), Gulu District (62%), Omoro (60%) and Kaabong (58%).

TABLE 27: PMTCT PERFORMANCE FOR SELECTED INDICATORS

Indicator Jul 2020 to Jul 2021 to Jul 2022 to Jul 2023 to
Jun 2021 Jun 2022 Jun 2023 June 2024
No. % No. % No. % No. %
Women attending 1st ANC 1,895,777 88% 1,908,854 86% 1,919,923 84% 2,016,004 88%
Women tested for HIV 1,689,113 89% 1,677,430 88% 1,733,723 90% 1,967,215 98%
Maternal ART Coverage for eMTCT 90,351 93% 86,306 101% 80,284 94% 79,672 95%
Women on ART for eMTCT at the first ANC with 26,815 100% 10,261 91% 16,030 92% 22,185 92%
a suppressed VL
Pregnant women tested for syphilis for first time 1,667,662 88% 1,601,439 84% 1,716,609 89% 1,894,215 94%
during this pregnancy
Pregnant Women tested positive for syphilis for first 24,338 78% 21,087 78% 22,560 82% 22,677 83%
time during this pregnancy - Started on Treatment
Infant ART in Maternity 67,860 100% 50,242 84% 46,836 85% 48926 88%
1st DNA/PCR within 2 Months 63,688 86% 66,295 90% 64,108 91% 65,518 91%
Prophylactic Infant ART 75,972 95% 76,092 96% 79,508 101% 85,882 108
HEIs Exclusively breastfed for 6 Months 50,977 64% 50,931 64% 52,478 67% 54,431 68%
HEIs Breastfed for 12 Months 47,071 59% 42,376 53% 59,457 75% 45,528 57%
Mothers Alive & on ART 12 months after starting 3,447 81% 2,993 84% 2,885 86% 2769 86%
ART (Last quarter of FY)

Maternal ART coverage target of 95% was achieved at national level (95%). This was contributed to by
Bunyoro sub region with a 99% coverage rate, Kigezi (98%), Lango (98%), North central (97%), Teso
(975%) and Busoga (96%). However, maternal ART coverage is below the 94% target in West Nile Region
(91%), Kampala (88%) and Karamoja at 85%.

FIGURE 26: MATERNAL ART COVERAGE FOR EMTCT BY REGION (JUL 23 TO JUNE 24)

National 95%
West Nile 91%
Tooro 97%
Teso 96%
South Central 94%
North Central 97%
Lango 98%
Kigezi 98%
Karamoja 85%
Kampala 88%
Busoga 96%
Bunyoro 99%

75% 80% 85% 90% 95% 100% 105%

MINISTRY OF HEALTH 39
5. The proportion of HIV exposed infants with the first DNA/PCR test within 2 months of age
increased from 88% in FY 2021/22 to 91% in FY 2022/23 and has stagnated at 91% in FY 2023/24.
Districts with the highest DNA/PCR for exposed infants done within the recommended time frame
were Sheema (100%), Nabilatuk (100%), Buikwe (97%), Kiboga, Bushenyi, Kagadi and Kitagwenda at
96%. Lowest coverage districts were Kaliro at 77%, Arua (74%), Nakapiripirit (74%), Karenga (67%)
and Kaabong (57%).

The HIV exposed infant performance is largely affected by issues that cause loss to follow up of HIV
positive mothers including self-stigma, denial, low male involvement, sociocultural issues and GBV.
In addition, mothers still deliver outside health facilities and so miss information of care of the HIV
exposed infants, while others get services at HC II which may not have PMTCT-EID services. These
are the issues we are trying to mitigate through use of peer mothers, family support groups in PMTCT
service delivery, implementing the community service delivery model where testing will be done in
the community and all mothers followed up by peer mothers, use of the PMTCT-EID client audit tool
and integration PMCT/EID into EPI

FIGURE 27: REGIONAL COVERAGE OF 1ST DNA PCR COVERAGE WITHIN 2 MONTHS

National 91%
West Nile 89%
Tooro 92%
Teso 92%
South Central 92%
North Central 93%
Lango 92%
Kigezi 90%
Karamoja 83%
Kampala 90%
Busoga 87%
Bunyoro 92%
Bukedi 90%
Bugisu 89%
Ankole 91%
Acholi 87%

78% 80% 82% 84% 86% 88% 90% 92% 94%

FIGURE 28: MAP SHOWING HIV EXPOSED INFANTS WITH THE FIRST DNA/PCR TEST WITHIN 2 MONTHS OF AGE FY 2023/24

40 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

6. ART Coverage for all ages declined from 98% to 96.8% in April to June 2024 though still above the
target of 95%. This performance is attributed to the continued implementation of the test and start
policy; efficient methods of service delivery like Differentiated Service Delivery models; and availability
of ARVs in both the public and private health facilities. There is also strengthened patient literacy,
improved linkage and retention. However, the numerator is prone to data quality deficits such as double
counting of clients that is inherent in aggregate reports. The regional ART coverage outputs are detailed
in the graph below.

FIGURE 29: ART COVERAGE BY REGION IN FY 2023/24 (BASED OF NAOMI 2023 ESTIMATES)
Acholi 86%
South Central 86%
Teso 85%
Kampala 85%
West Nile 84%
Ankole 83%
North Central 82%
Lango 82%
Kigezi 82%
Busoga 82%
Bukedi 81%
Tooro 81%
Karamoja 77%
Bunyoro 76%
Bugisu 74%

TABLE 28: QUARTERLY ART COVERAGE FY 2023/24 (BASED ON SPECTRUM ESTIMATES)

Category Estimated PLHIVs Current on ART ART Coverage
Jul to Sep 2023 1,433,337 1,407,583 98.2%
Oct to Dec 2023 1,433,337 1,408,381 98.3%
Jan to Mar 2024 1,492,410 1,433,056 96%
Apr to Jun 2024 1,492,410 1,444,813 96.8%

7. ART retention rate at 12 months increased by 5.3% from 77% in FY 2022/23 to 82.3% by Q4 FY
2023/24. Only 18 (12%) out of 146 LGs achieved the target of 95%. The April to June 2024 quarter was
used for evaluation of age specific retention outputs generated below as; children 78% (835/1,071);
Adolescents 71% (1,270/1,782); Adults 20+ years 83% (22,704/27,305); All ages 82% (24,809/30,158).

TABLE 29: TOP AND BOTTOM TEN RANKING LGS IN ART RETENTION FY 2023/24
Ranking Top Ten Ranking LG Bottom Ten Ranking LG
Region LG % Retention Region LG % Retention
1 Karamoja Karenga 100% Lango Alebtong 64%
2 Ankole Rubirizi 100% Acholi Gulu 64%
3 Teso Kapelebyong 100% South Central Kyotera 63%
4 Bugisu Mbale 100% Bugisu Mbale City 63%
5 Ankole Mitooma 100% Karamoja Napak 61%
6 Karamoja Kaabong 100% Bukedi Butebo 60%
7 Kigezi Rukungiri 100% West Nile Moyo 56%
8 Acholi Gulu City 100% Bukedi Kibuku 55%
9 South Central Masaka City 100% Karamoja Nabilatuk 50%
10 Bunyoro Kibaale 100% Karamoja Nakapiripirit 38%

MINISTRY OF HEALTH 41
The regional ART retention outputs are detailed in the graph below.

FIGURE 30: ART RETENTION RATE AT 12 MONTHS BY REGION IN FY 2023/24

National 82.3%
Karamoja 75%
Kampala 76%
Bunyoro 79%
West Nile 79%
South Central 79%
Bukedi 80%
Busoga 82%
North Central 83%
Bugisu 83%
Tooro 84%
Lango 84%
Teso 85%
Acholi 85%
Ankole 87%
Kigezi
93%

8. ART Viral Load (VL) Suppression Rate among all PLHAs on treatment has improved from 94.1%
in FY 2022/23 to 96% in FY 2023/24. The target of 95% viral suppression rate was achieved in the
reporting period. Viral suppression was lower among children 0-9 years (87%), adolescents 10-19 years
(89%); and males (92%) all below the 95% set target. The regional Viral load suppression rates outputs
are detailed in the graph below.

FIGURE 31: VIRAL LOAD SUPPRESSION RATES BY REGION IN FY 2023/24

Kigezi 97.3%
Kampala 97.1%
Ankole 97.0%
North Central 96.8%
South Central 96.6%
Tooro 96.1%
Teso 96.1%
Busoga 96.0%
Bukedi 95.7%
Bunyoro 95.7%
Lango 95.5%
West Nile 94.3%
Teso 94.1%
Bugisu 93.8%
Acholi 93.5%
Karamoja 92.3%

TABLE 30: TOP AND BOTTOM 5 RANKING LG IN VL SUPPRESSION RATES FY 2023/24

Top 5 Ranking LG Bottom 5 Ranking LG
Ranking LG VLT VLS % VLS Ranking LG VLT VLS % VLS
1 Bushenyi 17,972 17,186 95.6% 1 Kween 876 733 83.7%
2 Butambala 6,108 5,837 95.6% 2 Maracha 1,509 1,256 83.2%
3 Kiboga 9,483 9,060 95.5% 3 Manafwa 2,093 1,728 82.6%
4 Kalungu 12,505 11,940 95.5% 4 Bukwo 776 640 82.5%
5 Mubende 19,725 18,832 95.5% 5 Nabilatuk 138 111 80.4%

42 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

FIGURE 32: LOCAL GOVERNMENTS VL SUPPRESSION RATES

9. The TB Case Notification Rate decreased from 212 per 100,000 population to 198 per 100,000 in
FY 2023/24, though it was still above the estimated target of 171 per 100,000 population. This is a posi-
tive development through the ongoing under the TB CAST+ Campaign and community TB screening
using Mobile TB Clinics and Portable X-rays with CAD to increase case finding and curtail the commu-
nity transmission of TB.

FIGURE 33: MAP SHOWING TB CASE NOTIFICATION RATE BY LG IN FY 2023/24

Moroto district has the highest notification rate of 771 cases per 100,000 population above the national
average. The program has noted the shifting epidemiology of TB from the peri-urban areas to the cities across
the country, with the highest notifications reported from Soroti City 594 cases per 100,000 population, Fort

MINISTRY OF HEALTH 43
Portal City 565, Hoima City 504, Lira City 435 and Gulu City at 424 per 100,000. As such, NTLP, working
with USAID LPHS-TB Activity, is fostering learning and implementation of strategic interventions to under-
stand and curtail TB transmission in the cities.

Hon. Dr. Jane Ruth Acheng, handing over the keys for the Hon. Anifa Kawooya, Minister of State for Health handing
Mobile TB Clinic to Hosp. Director- Mbale RRH over Portable Digital X-ray

Hon. Muhanga, Minister of State for Health - giving speech Mobile TB clinic screening activity at Chahafi HCIV, Kisoro
at the World TBL Day Commemoration at Kikagati TC, District
Isingiro District on 27th /3/2024

Director General Dr Henry G. Mwebesa and WHO Country Representative Dr Yonas Tegegn Woldemariam along with Isingiro
District Leaders after the end TB and Leprosy match.

44 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

TB Treatment Outcomes: Over the last year, the program has registered an improvement in the treatment
success rate (TSR) from 89.5% in FY 2022/23 to 91.3% in FY2023/24, above the national target of >90%.
This is attributed to the early identification and initiation of anti-TB treatment (ATT). However, there is still
a regional variation in the TSR, with the highest being West Nile and Bugisu regions at >94% and the least
being Acholi, North Central, Teso, South Central, and Kampala regions at <90%. Efforts are being under-
taken to address this performance gap.

TABLE 31: TB TREATMENT SUCCESS RATE FOR ALL DS-TB CASES, FY2023/24
Region Jul 2020 to Jun 2021 Jul 2021 to Jun 2022 Jul 2022 to Jun 2023 Jul 2023 to Jun 2024
West Nile 92.5 93.3 93.8 94.5
Acholi 83.3 88.7 85.2 87.2
Lango 88 91.2 92 93.8
Busoga 83.7 86.1 92.3 92
Bunyoro 86.8 90.6 92.7 93.5
Teso 80.5 87.3 91 88.6
North Central 80.9 87.3 88 88.4
Karamoja 81.1 85.5 86.8 92.5
South Central 85.1 85.9 89.2 89.8
Bukedi 78.5 83.8 88 91.9
Kampala 85 83.5 85 88.2
Tooro 83.8 86.3 89.4 91.9
Ankole 80.3 84.7 86.3 92.1
Bugisu 81.1 85.1 90.8 94.1
Kigezi 76.3 83.1 90.3 92.7
National 84.3 87.3 89.5 91.3

Drug-Resistant TB
The DR TB treatment coverage has been on an upward trend, with 64% (748) treatment coverage in FY
2023/24, an improvement from FY 2022/23. The distribution among genders was not different from the
common features among DSTB, with 62% being males and 38% females, with 6% children. The improve-
ment in coverage is attributed to several strategies, which include improved linkage through the weekly
flagging of the newly diagnosed patients to reduce pre-linkage losses; routine data cleaning and harmo-
nization of key DRTB data sources (Labxpert, DHIS2, eCBSS) for improved reporting; monthly validation
of all RR cases in eCBSS with treatment facilities. This effort helped the program achieve 100% linkage
consistently for the last three quarters from a baseline of 76% in April and June 2023.

In addition, there was a Gene Expert for Every TB patient (GET) rolled out to more facilities in high-burden
areas in the country, which highly boosted patient numbers in the 3rd and 4th quarters of FY2023/24 with
program achieving quarterly targets above 75% in those 2 quarters (74.4% and 79%) as opposed to below
60% achievement in the previous quarters. Lastly, the Program adopted extended contact tracing for DRTB
patients and documentation of contact reports in the eCBSS so that each RR patient is monitored against
contact tracing efforts in the quarter. Although reporting of contact tracing in eCBSS has improved, the
need to improve the yield from contact tracing from other sites further through continuous CMEs and
coordination meetings for learning purposes remains..

MINISTRY OF HEALTH 45
TABLE 32: DR-TB TREATMENT COVERAGE, FY2023/24
DR–TB Treatment coverage (RR Started on Treatment Vs RR Estimated)
Region / Period Quarterly Estimated RR Cases RR cases started on Treatment at DRTB sites % Treatment Coverage
J-S23 DRTB site J-S23 O-D23 J-M24 A-J24 Total J-S23 O-D23 J-M24 A-J24 Total
Acholi Gulu Regional Referral Hospital 3 9 3 11 26
12 58% 125% 75% 142% 100%
Kitgum General Hospital 4 6 6 6 22
Ankole 21 Mbarara Regional Referral Hospital 6 7 10 14 37 29% 33% 48% 67% 44%
Bugisu 13
Mbale Regional Referral Hospital 9 14 16 8 47 39% 61% 70% 35% 51%
Bukedi 10
Bunyoro 22 Hoima Regional Referral Hospital 13 12 11 16 52 59% 55% 50% 73% 59%
Busoga Iganga General Hospital 7 4 6 10 27
25 40% 32% 120% 100% 73%
Jinja Regional Referral Hospital 3 4 24 15 46
Kampala Mulago NRH- Ward 5&6 (TBWard) 31 31 48 44 154
22 159% 159% 232% 205% 189%
Murchision Bay Main Hospital 4 4 3 1 12
Karamoja Matany Hospital 10 9 10 18 47
17 100% 100% 141% 182% 131%
Moroto Regional Referral Hospital 7 8 14 13 42
Kigezi 8 Kabale Regional Referral Hospital 8 4 4 5 21 100% 50% 50% 63% 66%
Lango 18 LiraRegional Referral Hospital 18 26 12 22 78 100% 144% 67% 122% 108%
NorthCen 30 MubendeRegionalReferralHospital 0 3 9 6 18 0% 10% 30% 20% 15%
SouthCen 34 Masaka Regional Referral Hospital 1 3 7 10 21 3% 9% 21% 29% 15%
Teso 11 Soroti Regional Referral Hospital 5 2 3 1 11 45% 18% 27% 9% 25%
Tooro 25 Fort Portal Regional Referral Hospital 8 10 18 8 44 32% 40% 72% 32% 44%
WestNile 25 Arua Regional Referral Hospital 19 16 15 25 75 76% 64% 60% 100% 75%
National 294 156 172 219 233 780 53% 59% 74% 79% 66%
There was an increase in sites achieving their quarterly targets in the last 2 quarters. Innovations were
made to share quarterly targets for each LG and share them with Implementing Partners (IPs) per region
and regional epidemiologists to monitor their performance in the region. The next steps will be to support
poorly performing LGs which were not able to achieve their targets consistently.

DR-TB Treatment Success Rate (TSR)

The TSR among DRTB patients has continued to improve over the last four quarters. Equally, the TSR for
the completed DRTB cohort 2021 improved to 89% compared to 88% for the completed cohort 2020
patients. This improvement is attributed to many factors, including 80% of all DRTB patients being enrolled
on a more acceptable 9 months shorter regimen; continuous mentorships of health workers at initiation
sites through technical assistance during clinic days; quarterly facility-based cohort monitoring and a strong
biweekly national expert review panel meeting. Other factors include a strong drug sensitivity testing labo-
ratory system, which allows for the formulation of the correct regimen for patients who cannot tolerate the
key molecules, and a salvage regimen for those who develop extra resistance to second-line medicines.
Among the DRTB cohorts in the last FY, 92% of patients had their sputum conversion within the first six
months of therapy. In addition, through mortality reviews, facilities with extra deaths were targeted for
mentorship and stop-gap refresher training, including Jinja RRH and Moroto RRH. There was also a very
strong network for drug redistributions and facility-based stock monitoring to address 2nd line logistics and
ensure continuity of therapy among DRTB clients, especially in the face of 2nd line drug shortage.

TABLE 33: DR-TB TREATMENT OUTCOMES

DR site Cohort Cured Completed Not Died LTFP TSR Death LTFU Failure
Evaluated Rate Rate Rate
Gulu Regional Referral Hospital 3 1 2 0 0 0 100% 0% 0% 0%
Iganga General Hospital 8 3 5 0 0 0 100% 0% 0% 0%
Kitgum General Hospital 4 2 2 0 0 0 100% 0% 0% 0%
Soroti Regional Referral Hospital 4 0 4 0 0 0 100% 0% 0% 0%
Mulago NRH - Ward 5&6(TB Ward) 22 9 12 0 0 1 95% 0% 5% 0%
Mbale Regional Referral Hospital 18 6 11 0 0 1 94% 0% 6% 0%
Arua Regional Referral Hospital 11 4 6 0 1 0 91% 9% 0% 0%
Mbarara Regional Referral Hospital 11 5 5 0 1 0 91% 9% 0% 0%
Fort Portal Regional Referral Hospital 9 2 6 0 1 0 89% 11% 0% 0%
Masaka Regional Referral Hospital 8 3 4 0 0 1 88% 0% 13% 0%
St. Kizito Matany Hospital 8 3 4 0 1 0 88% 13% 0% 0%
Jinja Regional Referral Hospital 6 3 2 0 1 0 83% 17% 0% 0%
Lira Regional Referral Hospital 23 4 15 0 2 2 83% 9% 9% 0%
Hoima Regional Referral Hospital 5 1 3 0 1 0 80% 20% 0% 0%
Mubende Regional Referral Hospital 4 1 2 0 1 0 75% 25% 0% 0%
Moroto Regional Referral Hospital 7 2 3 1 1 0 71% 14% 0% 14%
Kabale Regional Referral Hospital 2 1 0 0 1 0 50% 50% 0% 0%
National 153 50 86 1 11 5 89% 7% 3% 1%

Recommendations for DR TB
1. Accreditation of more sites in FY 2024/2025 to further decentralize and decongest patients in treat-
ment centers, especially where there is a high burden and difficulty in terrain (Kapchorwa, West Nile,
Adjumani, Entebbe RRH) as a priority.

2. Fast track the rolling out of the linkage protocol to provide real-time relay of newly diagnosed RR
patients to treatment centers, early linkages, and monitoring of linkage time.

3. Strengthen adverse events monitoring and post-treatment monitoring among DRTB clients. DRTB

MINISTRY OF HEALTH 47
 treatment sites must be provided with appropriate monitoring tests and equipment for adverse event
monitoring and given short-term treatment.

4. Strengthen documentation and monitoring and reporting of all comorbidities among DRTB patients
beyond HIV/TB status. The gap in TSR of 11% was greatly attributed to death resulting from possible
comorbidities, 2% lost to follow-up, and 1 % treatment failure.

5. Strengthen adherence monitoring by rolling out Digital adherence monitoring (pill boxes and VDOTs)
for DRTB care. This will go a long way in easing the current expenditures on daily DOT transporta-
tion, improving adherence, and providing opportunities to provide sustainable nutritional and economic
empowerment programs for DR TB through financial land nutritional enhancement dialogue programs..

10. The proportion of leprosy patients presenting to health facilities with Grade 2 disability at the
time of diagnosis reduced by 4.5% from 19% in 2022/23 to 10.5% in 2023/2024, above the national
target of 8%. The positive progress in reduction from 21.5% in FY2021/22 to 19% in 2022/23 and now
10.5% in 2023/24 is attributed to the intensified leprosy case-finding interventions: examination of
general suspects, contact surveillance and management, where 16% of all the index cases had their
contacts receive Single Dose Rifampicin (SDR) as leprosy Post-Exposure Prophylaxis.

Overall, there was a reduction in the number of leprosy cases notified from 489 in FY 2022/23 to 307
in FY 2023/24, with more females (59%) being reported but with an increase in the proportion of child
leprosy cases reported from 13% in FY 2022/23 to 15% in FY 2023/24. Over the last 4 FYs, the West
Nile region has reported the highest number of new leprosy cases, with over 79% (244) of the cases
in FY 2023/24 (Table 34). The treatment success rate also increased from 76.8% in FY2022/23 to 89%
in FY 2023/24.

TABLE 34: NUMBER OF NEW LEPROSY CASES BY REGION

Region FY2020/21 FY2021/22 FY2022/23 FY2023/24
Acholi 2 13 24 6
Ankole 2 0 1 0
Bugisu 4 4 1
Bukedi 7 7 7 4
Bunyoro 14 6 28 9
Busoga 5 5 12 2
Kampala 1 2 5 0
Karamoja 4 3 2 4
Kigezi 0 3 0 0
Lango 23 18 15 10
North Central 4 13 8 3
South Central 6 5 4 8
Teso 2 7 8 5
Tooro 12 24 27 11
West Nile 223 371 344 244
Total 309 477 489 307

Source: MoH DHIS2

During this FY, the country received Multi-Drug Therapy (MDT) through the WHO office for adults and chil-
dren in sufficient amounts, and no expiries were reported. Additionally, two research projects were imple-
mented: “Feasibility and cost-effectiveness of integrating contact follow-up with Single dose Rifampicin
administration as post-exposure prophylaxis for leprosy case contacts- in Bukedi and Teso Regions” and
“Exploring Patient journeys from first symptom to diagnosis”.

48 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

Over the last four FYs, West Nile region has reported the highest number of new leprosy cases,
with over 79% (244) of the cases in FY2023/24. There is need for capacity building to improve
health workers’ knowledge of early diagnosis and management of leprosy and strengthen contact
surveillance.

11. Zoonotic disease detected and managed timely: During this reporting period all the four zoonotic
diseases detected were managed timely - Congo Crimean Hemorrhagic Fever, Rift Valley Fever, Anthrax
and Rabies. Several other public health emergency incidents and disease outbreaks were responded
to, and these included Yellow Fever, Conjunctivitis (Red Eyes), Measles, Rabies and Cholera. There was
also food poisoning in Mukono, Luwero & Jinja districts, floods/mudslides in Rwenzori and Bugisu/
Bukedi regions.

FIGURE 34: DISTRIBUTION OF PHES ACROSS UGANDA FY 2023/2024

Measles was the most confirmed PHE events across the country (21 events), followed by Anthrax (12), Rift
valley fever (10), CCHF (6), Cholera (5) as summarized in the chart below.

FIGURE 35: FREQUENCY FOR CONFIRMED EVENTS (N = 67)

Measles 21
Anthrax (Human) 12
Rift Valley Fever (RVF) 10
Congo Hemorrhaging Fever (CCHF) 6
Cholera 5
Condition

Yellow Fever 3
Food Poisoning 3
Conjunctivitis 1
Covid-19 1
CVDP2 1
Fire 1
Rabies 1
Black Water Fever 1
Rabella 1

Many public health events happened between the months of November 2023 to April 2024 as highlighted
in Table 35.

MINISTRY OF HEALTH 49
TABLE 35: DISTRIBUTION OF CONFIRMED PUBLIC HEALTH EMERGENCY EVENTS IN UGANDA BY MONTHS
Condition Jul-23 Aug-23 Sep-23 Oct-23 Nov-23 Dec-23 Jan-24 Feb-24 Mar-24 Apr-24 May-24 Jun-24
Anthrax (Human) 1 1 2 2 2 2 1 1
Black Water Fever 1
Cholera 2 1 1 1
Congo Hemorrhaging
Fever (CCHF) 2 2 1 1
Conjunctivitis 1
Covid-19 1
cVDP2 1
Fire 1
Food Poisoning 1 1 1
Measles 1 1 4 5 3 4 2
Rabella 1
Rabies 1
Rift Valley Fever (RVF) 1 1 2 3 3
Yellow Fever 1 1 1

Weekly surveillance reporting Rates

The National average Weekly Surveillance reporting rates FY 2023/2024 was at 81.4% compared to 85.5%
in FY 2022/2023 and this reduction in the reporting rates was caused by the mTrac SMS system challenges
that occurred during the reporting period. On average 67.4% (99/146) of the LGs performed above the
national target of 80% and 32.6% (47/146) performed below the national target.

FIGURE 36: MAP SHOWING WEEKLY SURVEILLANCE REPORTING RATES BY LGS IN FY 2023/24

The bottom 5 LGs include Kampala 64.8%, Ngora 64.5%, Hoima City 59.5%, Rwampara 57.4% and lastly
Buikwe at 54.7%.

50 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

The above Outbreaks and other PHEs were contained though the following actions.
(i) Complete Alert verification and comprehensive case investigations
(ii) Complete contact tracing and high percentage of contact follow up.
(iii) Effective active case search was conducted both at facility and community level.
(iv) Routine surveillance meetings at national and district levels were held
(v) Capacity building at district level was done for effective implementation of response activities in the
affected districts.
(vi) Developed district response plans to mobilize resources.
(vii) Conducting RDTs and sample referrals to CPHL especially for chorea..

Major challenges were lack of funds direct to LGs to conduct rapid risk assessments and respond
to disease outbreaks and other public health threats, and inadequate Human Resource for the
National, Regional Emergency Operations Centers and PoEs.

There is need for advocacy for GoU to allocate earmarked funds to LGs to respond to disease
outbreaks and other public health threats. Approval of HR structure and staff recruitment for the
PoEs and REOCs.

12. Target districts (51) that achieved elimination of blinding trachoma – 96% (49 out of the 51) target
districts achieved elimination by FY 2023/24. MoH is still carrying out mass treatments and surveys for
trachoma in Moroto and Amudat.

13. Proportion of target population vaccinated against Hepatitis B by dose Hepatitis B testing in adult
population increased by 33% in FY 2023/2024 with a corresponding increase in the proportion of test
positivity during the same period. (Table 36) While first dose vaccination of those who tested negative
increased by 22%, there was decrease in second dose and third dose vaccination by 4% and 13%
respectively in FY 2023/2024.

During the same period, there was a general increase in the proportion of clients’ enrollment into care
and treatment for both pregnant women and the general adult population. The improvement in testing
and enrolment into care was due to improved social mobilization, community sensitization contributed by
ICHDs which were heavily supported by both Government and partners during the FY.

TABLE 36: HEPB TESTING AND TREATMENT IN ADULT POPULATION

HepB Indicator FY2022/2023 FY2023/2024 %Change
Number of Clients tested for HepB 577,443 788,743 33%
Number of Clients tested negative for HepB 525,101 770,104 32%
Number of Clients tested positive for HepB 15,199 1,8639 32%
Number of Clients tested negative for HepB and Vaccinated - 1st Dose (New) 147,492 188,739 22%
Number of Clients Clients tested negative for HepB and Vaccinated - 2nd Dose (Revisit) 42,912 41,274 -4%
Number of Clients tested negative for HepB and Vaccinated - 3rd Dose (Revisit) 17,521 15,546 -13%
Number of Clients tested positive for HepB and enrolled into care and treatment 5,788 6,260 8%
Number of Clients tested positive for HepB and not enrolled into care and treatment 3,455 4,776 28%
Number of Persons assessed for HepB treatment effectiveness (viral load suppression) 1,744 1,668 -5%
Number of Persons with HepB effective treatment (viral load suppression) 2,405 2,530 5%
Number of Pregnant women tested for HepB 252,458 409,051 38%
Number of Pregnant women tested positive for HepB 6,172 10,040 39%
Number of Pregnant women tested positive for HepB and initiated on HepB treatment 1,657 2,597 36%

MINISTRY OF HEALTH 51
Proportion of livebirths vaccinated with Hepatitis B vaccine: HepB vaccination at birth was introduced
into the routine immunization program in October 2022. Hepatitis B Birth dose vaccination coverage
increased to 36% from 10% in FY 2022/2023.

During the period, 90 LGs had coverage of less than 40%, 41 LGs had coverage between 40%-60% while
15 LGs had coverage of above 60%. The last 10 LGs with the lowest coverage include Karenga (3%),
Amudat (6%), Pader (7%), Gulu city (8%), Rakai (10%), Mayuge (10%), Bugweri (10%), Madi-okollo (11%),
Kayunga (12%) and Kalaki (12%).

HepB vaccination coverage has continued to perform poorly since the introduction of HepB birth
dose into the routine immunization program in October 2022. The main reason for the sub-optimal
coverage during the year was stock out of the vaccine. There is, therefore, need to properly plan,
quantify, and procure adequate HepB vaccines.

14. Tobacco non-smoking rate has reduced to 91.7% as per the 2023 STEPS survey compared to 90.4%
in 2014. The survey showed that the prevalence of tobacco use in Uganda was 8.3%. Prevalence is
higher among males 18 – 69 years at 15% compared to 2.4% among females 18 – 69 years. 29.7 % of
respondents aged 18 – 69 years (31.9% males and 27.7% females) reported exposure to second-hand
tobacco smoke in home during the past 30 days, whereas 49.3% (57.3% males and 41.9% females)
reported exposure to second-hand tobacco smoke in the workplace during the past 30 days.

15. Proportion of girls immunized against cervical cancer by 10 years: During FY 2023/24, HPV1
coverage was at 172% and HPV2 at 74% compared to 156% for HPV1 and 74% for HPV2 in FY
2022/23. HPV vaccination highly leverages on schools and communities during integrated Child Health
days (ICHDs). The over performance of HPV vaccination is attributed to more girls above 10 years of
age reached from cohorts of girls who had missed HPV during the previous years. The immunization
program, therefore, targets all the missed opportunities for these girls through catch-up vaccination
interventions during the ICHDs.

16. Cervical cancer screening in women aged 30-49 years: According to the 2023 STEPS survey, 23%
of the female respondents aged 30 – 49 years had ever been screened for cervical cancer compared
to 9.9% in 2014. Whereas, among women aged 15–49, 77% have knowledge of cervical cancer, but
only 58% of them have heard of cervical cancer testing. Only 13% of women aged 15-49 have received
cervical cancer screenings. Testing for cervical cancer is higher in urban (15%) than in rural areas (12%).
(UDHS 2022) Cervical cancer screening is done by a Pap smear or human papillomavirus (HPV) test or
visual inspection with acetic acid.

Acholi (21.4%) and Lango (20.8%) regions have the highest percentage of women aged 15–49 screened
for cervical cancer compared to Karamoja (3.4%) and Bukedi (6.8%).

Low rate of cervical cancer screening is due to limited awareness and access to the services. There
is need to intesify BCC to increase awareness about cancer screening services, as well as scale up
cervical cancer screening services at Primary Health care facilities.

52 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

FIGURE 37: % OF WOMEN AGED 15 – 49 WHO WERE EVER EXAMINED BY A HEALTH WORKER FOR CERVICAL CANCER

17. Breast cancer screening in women aged 30 - 49 years – Data not available for this target popula-
tion. However, according to UDHS 2022, only 7% of women aged 15 – 49, have undergone examina-
tions or tests for breast cancer. Regular breast screening is one of the best ways to improve early diag-
nosis of breast cancer, which together with cervical cancer are the leading cases of cancer in Uganda.
The examination could include either a clinical breast exam, in which a healthcare provider uses their
hands to feel for lumps or other changes or the use of a mammogram.

FIGURE 38: % OF WOMEN AGED 15 – 49 WHO WERE EVER EXAMINED BY A HEALTH WORKER FOR BREAST CANCER

Kampala (10.9%) and Busoga (9%) regions have the highest percentage of women aged 15–49 screened
for breast cancer compared to Lango (4.1%) and Karamoja (2.9%).

MINISTRY OF HEALTH 53
18. IPTp3 coverage for pregnant women: The coverage of IPTp3 stagnated at 54% (1,024,771/1,907,369)
during FY2023/24 which is below the target of 77%. Higher coverages were reported in Kigezi (72%)
and Ankole (72%) regions while lower coverages were reported in Bunyoro (45%) and Kampala regions
(35%). (Figure 39)

FIGURE 39: MAP SHOWING IPTP3 COVERAGE BY LG IN FY 2023/24

FIGURE 40: REGIONAL VARIATION IN THE COVERAGE OF IPTP3 IN THE LAST TWO FY

FY 2022/23 FY 2023/24

National 54
National 54
Kampala 35
Kampala 35
Busoga 47
Bunyoro 45
Bugisu 51 Busoga 49
Acholi 52 Acholi 49
North Central 53 North Central 50
Lango 53 South Central 52
South Central 55 Tooro 55
Bunyoro 55 Teso 56
Karamoja 56 Bugisu 58
Bukedi 57 Karamoja 60
Teso West Nile 61
58
Bukedi 61
Tooro 59
Lango 64
West Nile 64 Kigezi 72
Ankole 67 Ankole 72
Kigezi 68

Source: MoH DHIS 2

The 54% coverage reported through DHIS2 is comparable to the UDHS 2022 finding of 56% of women
who had a live birth in the 2 years before the survey reported taking three or more doses of SP. The propor-
tion of women with a live birth in the 2 years before the survey who took three or more doses of SP/
Fansidar during their last pregnancy increased from 10% in 2011 to 28% in 2014-15, then decreased to 17%
in 2016 and increased again to 41% in 2018-19, and 56% in 2022. (Figure 41)

54 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

FIGURE 41: TRENDS IN IPTP3+

100%
89% 89%
90%
79%
80% 80%
72%
70% 64%

60% 56%
48% 49%
46%
50%
41%
40%
27% 28%
30%
17%
20%
10%
10%

0%
UDHS 2011 UMIS 2014 - 15 UDHS 2016 UMIS 2018 - 19 UDHS 2022

TABLE 37: IPTP3 COVERAGE FOR TOP 10 AND BOTTOM 10 LGS

FY 2022/23 FY 2023/24
Top 10 LGs Coverage (%) Bottom 10 LGs Coverage (%)
Kiruhura 99 Buliisa 15
Rubanda 94 Sembabule 25
Lira City 89 Kassanda 28
Kazo 80 Kagadi 30
Kabale 79 Kampala 35
Mitooma 79 Pakwach 36
Sheema 79 Apac 38
Dokolo 77 Masaka City 38
Ibanda 77 Kitagwenda 39
Moyo 77 Kaliro 41
Source: MoH DHIS 2

Factors that contributed to the low coverage of IPTp3 included: late initiation of pregnant women
in ANC. The proportion of mothers attending ANC1 in the 1st trimester was between 32% - 37%.
Inadequate retention into ANC care, the percentage of mothers attending ANC1 that return for at
least 4 visits was between 67% -70%. Additionally, health facilities reported SP stock outs.

In the next FY, NMCD has planned several interventions focusing on minimizing stock outs of SP,
increasing demand for IPTp by improving linkage of pregnant women from the community to health
facility to enhance ANC 1 visit within the first trimester and build capacity of health workers to
provide IPTp.

19. Anaemia screening at first prenatal visit stagnated at 23% for the last 3 FYs and is significantly
below the target of 60% for the year. The poor performance is primarily attributed to insufficient labora-
tory supplies for hemoglobin estimation at all levels. The proportion of pregnant women with Hb levels
below 11g/dl at first ANC visit increased slightly from 7.5% to 8.0%. This highlights a pressing need for
improved Hb screening and targeted interventions to better manage anemia during pregnancy.

MINISTRY OF HEALTH 55
20. Antenatal Care 4th Visit coverage increased by 6.3%, to 49.1% (1,119,557 out of 2,278,100 estimated
pregnancies) in FY 2023/24 from the 46%.

FIGURE
FIGURE 43:
42: TRENDS
TRENDS IN
IN EARLY
EARLY ANC
ANC ATTENDANCE
ATTENDANCE &
& 4TH
4TH ANC
ANC VISITS
VISITS

37%
ANC Timing (1st Trimester) 35%
35%

49%
ANC 4th Visit 46%
48%

0% 10% 20% 30% 40% 50% 60%

FY 2023/2024 FY 2022/2023 FY 2021/2022

FIGURE 43: MAP SHOWING ANC4 VISIT COVERAGE BY LG IN FY 2023/24

Legend
ANC 4th Visit Coverage
<30
30 - 45
46 - 54
55 - 65
66 and above
Water bodies

Among the LGs, those with the highest coverage for ANC 4th visit were Gulu City (128.7%), Obongi
(128.1%), Soroti City (121.8%), Mbarara City (106.1%), Jinja City (104.5%). Conversely, the lowest coverage
rates were recorded in Wakiso (25.3%), Hoima City (25.1%), Gulu (24.9%), Buvuma (21.9%), Arua (18.3%).

21. The proportion of pregnant women delivering at health facility deliveries increased slightly from
64% in FY 2022/23 to 65% (1,478,999/ 2,278,100 estimated pregnancies) in FY 2023/24.

56 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

FIGURE 44: MAP SHOWING THE % OF HEALTH FACILITY DELIVERIES BY LG IN FY 2023/24

Legend
HF Deliveries (%)
<50.0
50.1 - 65.0
65.1 - 72.0
72.1 - 85.0
85.1 and above
Water bodies

Among the LGs, those with the highest proportion of health facility deliveries included Soroti City (225%),
Fort Portal City (170%), Hoima City (146%), Mbarara City (138%) and Butambala (134%). Conversely, the
districts with the lowest proportions were Luuka (37.1%), Soroti District (35.7%), Wakiso (34.8%), Madi-
Okollo (33.8%), and Masaka District (33.2%).

At the health facility level, 45% of deliveries occurred at HC III’s, and II’s (9%).

TABLE 38: TRENDS IN HEALTH FACILITY DELIVERIES BY HEALTH FACILITY LEVEL

Level Number % Number % Number %
Referral and Large PNFPs 127,446 9 115,694 8 133,416 9
General Hospitals 217,520 15 234,267 17 233,593 16
HC IVs 276,168 19 287,647 20 311,872 21
HC IIIs 679,577 47 646,632 46 672,747 45
HC IIs & Clinics 129,085 9 128,616 9 127,371 9
Total 1,446,874 100 1,412,855 100 1,478,999 100

22. The proportion of HC IVs providing CeMNOC (C/S and blood transfusion) iincreased by 27%
to 66% (178/271), and the proportion of HC IVs conducting C/S was 84% (227/271) in FY 2023/24
compared to 86% (218/254) in FY 2022/23. Overall, there is an increase in the number of HC IVs
reporting.

FIGURE 45: TRENDS FOR HC IV’S PERFORMING C/S AND THOSE PROVIDING BLOOD TRANSFUSION SERVICES

82 86 84
72
68 66
56
Percent

54
46 42

2019/20 2020/21 2021/22 2022/23 2023/24

Source: MoH DHIS 2 % conducting C/S % C/S & Blood Transfusion

MINISTRY OF HEALTH 57
A total of 5 out of 266 (1.9%) HC IVs do not provide C/S services and yet this is the major service to be
provided at HC IVs, and 73 (27.4%) of HC IVs conducted C/S without blood transfusion services at the
facility. The PHPs have the highest proportion, 64.3% of HC IVs conducting C/S without blood transfusion
services.

FIGURE 46: TRENDS IN HC IV’S PERFORMING C/S AND CEMNOC BY SUB-SECTOR

200
177
170

150 133
112

100

58
41
50 32
25 28
20 17 17 25 21 16 22
11 17
9 5
3 3 3 2
0

GOV (n=195) PFP (n=29) PNFP (n=30) GOV (n=199) PFP (n=38) PNFP (n=34)

FY 2022/23 FY 2023/24

Perform C/Section Performing C/S and providing blood transfusion (CEmONC) C/S with no blood transfusion services No C/S

Source: MoH DHIS 2

TABLE 39: HC IVS NOT CONDUCTING CAESAREAN SECTIONS

S/N Health facility LG Ownership Deliveries
1 5th Military Division Pader GOV 149
2 Astu Katakwi GOV -
3 Bondo Arua GOV 618
4 Bukasa Kalangala GOV 115
5 Bukuya Kassanda GOV 1,659
6 Buliisa Buliisa GOV 520
7 Busanza Kisoro GOV 249
8 Frost Hospital Wakiso PFP 57
9 Gwalibawadde II Mukono PFP -
10 Hiima UCI Kasese PNFP 1
11 Hope Luwero PFP 34
12 K.T Medical Centre Wakiso PFP 67
13 Kachumbala Bukedea GOV 1,429
14 Kairos Medical Centre Mukono PFP 51
15 Kakomo Kabale GOV 332
16 Kalaki Kalaki GOV 818
17 Karita Amudat GOV 622
18 Kataraka Fort Portal City GOV 338
19 Kigorobya Hoima GOV 1,384
20 Kigsley Children's Medical Centre Mukono PFP -
21 Kira Wakiso GOV 957
22 Kitante Medical Centre Kampala PFP 11
23 Maracha Maracha GOV 582
24 Midas Touch Kumi PFP 2
25 Mpungu Kanungu GOV 241

58 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

S/N Health facility LG Ownership Deliveries
26 Musana Community Kaliro PFP 38
27 Naguru Police Kampala GOV -
28 Naluvule Medical Wakiso PFP 46
29 Nsambya Police Kampala GOV 725
30 Ntungamo Ntungamo GOV 971
31 Ober Lira City GOV 1,219
32 Palabek-Kal Lamwo GOV 410
33 Pearl Medical Centre Kampala PFP 182
34 Platinum Medical Centre Kampala PFP 38
35 Rugyeyo Kanungu GOV 265
36 Rukungiri Rukungiri GOV 710
37 Ruteete Kabarole GOV 234
38 Salaama Memorial Medical Health Centre Wakiso PFP 165
39 SAS Clinic Kampala PFP -
40 Social Doctors Mukono PFP 191
41 Spring Medicare Wakiso PFP 223
42 Toroma Katakwi GOV 684
43 Victoria Medical Services Wakiso PFP 86
44 Wanda Matugga Wakiso PNFP 214

Kisenyi and Kawaala HC IVs have the highest number of deliveries and C/S rate largely due to the high
population. Similarly, Kyangwali, Bujubuli and Insingiro are HC IVs in refugee hosting districts with increased
health service needs.

TABLE 40: HC IVS WITH THE HIGHEST NUMBER OF C/S IN FY 2023/24

No. LG HC IV Ownership Deliveries No. of C/S C/S Rate
1 Kampala Kisenyi GOV 8,844 2,128 24%
2 Kampala Kawaala GOV 8,167 1,873 23%
3 Kikuube Kyangwali GOV 3,595 1,602 45%
4 Kyegegwa Bujubuli GOV 4,879 1,459 30%
5 Isingiro Rwekubo GOV 2,949 1,413 48%
6 Kasese Rukooki GOV 3,318 1,122 34%
7 Wakiso Wakiso GOV 4,159 1,042 25%
8 Wakiso Kasangati GOV 3,840 1,007 26%
9 Serere Serere GOV 2,533 996 39%
10 Sironko Budadiri GOV 3,446 843 24%
11 Kakumiro Kakindo GOV 3,122 837 27%
12 Kassanda Kassanda GOV 2,819 800 28%
13 Budaka Budaka GOV 3,705 748 20%
14 Kamwenge Rwamwanja GOV 3,793 747 20%
15 Mpigi Mpigi GOV 2,816 735 26%
16 Rubirizi Rugazi GOV 2,134 729 34%
17 Wakiso Namayumba GOV 2,380 726 31%
18 Lwengo Kyazanga GOV 1,596 694 43%
19 Sembabule Ssembabule GOV 2,106 685 33%
20 Terego Omugo GOV 1,732 654 38%
Source: MoH DHIS 2

MINISTRY OF HEALTH 59
Overall C/S rate is highest in the private health facilities and several of them do not provide blood transfu-
sion services as shown below. The lack of the recommended services for CeMNOC could be contributing
to the high rate of late referral from the private clinics and the undesirable outcomes for the clients. There is
need to support the private facilities in ensuring that services are provided according to the service delivery
standards follow up and establish the cause.

TABLE 41: HC IVS WITH THE HIGHEST C/S RATE IN FY 2023/24

S/ LG Health facility Ownership Deliveries in No. of C/S % C/S Transfusion
No. unit Done
1 Kumi Michoes Medical PFP 141 107 76% No
2 Jinja Lamu Medical Centre PFP 50 31 62% Yes
3 Kyenjojo Midas Torch PFP 194 120 62% No
4 Kagadi St. Ambrose Charity PFP 261 143 55% No
5 Wakiso Sebbi Medical PFP 623 335 54% No
6 Kampala Span Medicare PFP 90 48 53% No
7 Bundibugyo Busaru PNFP 714 369 52% Yes
8 Kyenjojo St. Theresa Lisieux Rwibaale PNFP 874 440 50% Yes
9 Isingiro Rwekubo GOV 2,949 1,413 48% Yes
10 Kasese Rwesande PNFP 606 289 48% Yes
11 Wakiso Henrob Family Clinic PFP 530 244 46% Yes
12 Kikuube Kyangwali GOV 3,595 1,602 45% Yes
13 Kakumiro St. Mary's Kakindo PNFP 672 293 44% No
14 Lwengo Kyazanga GOV 1,596 694 43% Yes
15 Mukono Herona Medical Centre PFP 484 210 43% Yes
16 Masindi Masindi Kitara Medical Centre PNFP 454 186 41% Yes
17 Kampala Bugolobi Medical Centre PFP 107 43 40% No
18 Kyotera St. Andrews Bikira Maria PNFP 881 347 39% Yes
19 Serere Serere GOV 2,533 996 39% Yes
20 Kampala Medik Health Centre PFP 158 62 39% Yes
Source: MoH DHIS 2

23. Maternal deaths among 100,000 health facility deliveries reduced by 8.4% from 90.3/100,000 in
FY 2022/23 to 82.7/10,000 in FY 2023/24. The number of maternal deaths and Institutional maternal
mortality rate (IMMR) are highest at the referral and large PNFP hospitals (50.6%).

TABLE 42: NUMBER AND PROPORTION OF MATERNAL DEATHS REPORTED BY LEVEL OF HEALTH FACILITY
Level 2019/20 2020/21 2021/22 2022/23
Number % Number % Number % Number %
Referral and Large PNFP Hospitals 521 42% 566 46% 648 51% 619 50.6%
GH 471 38% 387 32% 380 30% 397 32.4%
HC IV 169 14% 186 15% 172 13% 142 11.6%
HC III 53 4% 61 5% 64 5% 59 4.8%
HC II 14 1% 26 2% 12 1% 6 0.49%
TOTAL 1,228 100% 1,226 100% 1,276 100% 1,222 100%

Institutional Maternal Mortality Risk (IMMR) at NRHs is still very high compared to the national average
though has reduced by 0.4% from 648/100,000 deliveries to 619/100,000 in FY 2023/24.

60 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

FIGURE 47: IMMR BY HEALTH FACILITY LEVEL

700 FY 2021/2022
649
560.5
FY 2022/2023
IMMR/100,000 Deliveries

480.7
483
FY 2023/2024

418

170.8
184
181

82.7
90
85
45.5
67
60

32
8.6

4.7
10
10

9
NR Hospital RR Hospital General Hospital HC IV HC III HC II/clinic Overall

The IMMR is highest in Kampala region at 213/100,000 deliveries increasing from 205/100,000 in FY
2022/23, followed by Bugisu at 104 /100,000 reducing from 122/100,000 in FY 2022/23.

TABLE 43: NUMBER OF DELIVERIES, MATERNAL DEATHS AND IMMR BY REGION

Region No. health facility Deliveries No. Maternal deaths IMMR/ 100,000 deliveries
FY22/23 FY23/24 FY22/23 FY23/24 FY22/23 FY23/24
Acholi 64,142 66,657 66 45 103 68
Ankole 114,028 120,123 89 77 78 64
Bugisu 93,492 93,553 114 97 122 104
Bukedi 85,023 91,082 46 51 54 56
Bunyoro 83,807 88,486 103 83 123 94
Busoga 124,510 131,225 116 123 93 93
Kampala 87,879 86,029 180 183 205 213
Karamoja 35,517 40,572 12 30 34 74
Kigezi 53,464 55,178 38 35 71 63
Lango 74,902 86,728 45 53 60 61
North Central 146,242 152,405 126 126 86 83
South Central 140,932 145,440 87 109 62 75
Teso 74,074 81,140 63 44 85 54
Tooro 122,315 119,633 96 80 79 67
West-Nile 112,515 120,728 95 86 84 71
Uganda 1,412,842 1,478,782 1,276 1,222 90 82.7

Source: MoH DHIS2

Causes of Maternal Deaths

Among the maternal deaths reviewed, obstetric haemorrhage remains the leading cause of maternal
deaths accounting for 45% of deaths in the FY 2023/24 followed by hypertensive disorders of pregnancy
which stagnated at 16%.

MINISTRY OF HEALTH 61
FIGURE 48: CAUSES OF MATERNAL DEATHS – FY 2021/22 TO FY 2023/24

36%
34%
34%

16%
16%
14%

13%
12%

11%
9%

9%
9%
9%
7%
6%

6%
5%

5%

5%
2%
2%
Postpartum Antepartum Hypertensive Indirect Causes Pregnancy Ectopic Abortion
haemorrhage haemorrhage Disorders of (Malaria, HIV/AIDS/ Related Sepsis Complications Complications
Pregnancy TB/Anaemia)
Source: MoH DHIS2 FY21/22 FY22/23 FY23/24

24. Facility based fresh (FSB) still births (per 1,000 deliveries) have reduced by 11% from 6.4/1,000 in
the previous FY 2022/2023 to 5.7/1,000 in FY 2023/2024 above the target of 5/1,000. Kigezi, Bukedi
and Ankole regions had the lowest FSBs per 1,000 deliveries. Bunyoro, Kampala and Busoga regions
had the highest rate of FSBs per 1,000 deliveries. Over the past two years (FY2022/23 and FY2023/24),
the regions of Kampala, Bunyoro, and Acholi have had the highest perinatal mortality deaths. Bukedi,
Bugisu and Tooro regions have the lowest perinatal mortality rates generally below the national average.

TABLE 44: RATE OF PERINATAL DEATHS BY TYPE AND REGION IN FY 2023/24

FY2023/24
Region
Total Births MSB/1,000 FSB/1,000 ENND/1,000 IPMR/1,000
Births Births Live Births births
Acholi 66,792 8.4 5.6 7.5 21.3
Ankole 121,593 5.2 4.6 3.3 13.1
Bugisu 93,750 5.1 5.3 1.2 11.6
Bukedi 91,846 4.1 4.6 2.4 11.0
Bunyoro 87,963 8.1 8.8 5.9 22.7
Busoga 131,260 7.1 6.7 4.9 18.6
Kampala 87,240 10.2 7.7 18.2 35.8
Karamoja 40,599 3.3 6.3 4.5 14.1
Kigezi 55,432 5.1 3.7 6.4 15.2
Lango 86,639 4.7 5.0 3.0 12.7
North Central 152,764 7.1 6.6 3.2 16.9
South Central 145,774 6.6 5.7 4.0 16.2
Teso 80,787 5.1 4.9 3.3 13.3
Tooro 118,672 4.5 4.1 2.4 11.0
West Nile 120,815 6.8 5.8 3.9 16.4
National 1,481,926 6.2 5.7 4.6 16.5

FSBR, MSBR, ENND/1000 IPMR/1000

<6/1,000 <15
6-12/1,000 15-25/1000
>12/1,000 >25

62 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

25. Maternal deaths reviewed: A total of 1,222 health facility based maternal deaths were reported
(HMIS 105) and of these 95.4% were notified and 94.8% reviewed in FY 2023/24 compared to 94.1%
in the previous FY. This was above the target of 90%.

FIGURE 49: NATIONAL TRENDS IN INSTITUTIONAL MATERNAL DEATHS REPORTED, NOTIFICATIONS AND REVIEW RATES

1,300 120

% maternal deaths Notified / Reviewed

97.9 94.1 95.4
1,250 100
79
No. Maternal Deaths

1,200 71 94.8
89.8 89.1 80
1,150 59
76 60
1,100 66
51 40
1,050

1,000 20
1,083 1,182 1,226 1,226 1,276 1222
950 0
FY18/19 FY19/20 FY20/21 FY21/22 FY22/23 FY23/24
Reporting period

# Maternal deaths % Maternal death notified % Maternal death reviewed

Source: MoH DHIS2

FIGURE 50: MAP SHOWING THE % OF MATERNAL DEATHS REVIEWED BY LG IN FY 2023/24

Legend
% MDs reviewed (#)
0 (60)
<65 (12)
66 - 90 (16)
91 - 100 (78)
> 100 (14)
No MD Review Reported (21)

It is worth noting that several LGs (20) had no maternal deaths reported from the health facilities. This is
likely to raise from the non-reporting or tendency to refer to higher level facilities. There is need to study
the cause of no maternal deaths reported in theses.

Overall, the process of maternal death notification and reviews has been embraced by all regions, though
there was a significant reduction in proportion of maternal deaths reviewed in Bugisu region from 95.6%
in FY 2022/23 to 84.5% in 2023/24.

MINISTRY OF HEALTH 63
TABLE 45: IMMR, MATERNAL DEATH NOTIFICATION AND REVIEWS BY REGION
No. Maternal deaths % maternal death notifications % maternal death reviews
Region
FY22/23 FY23/24 FY22/23 FY23/24 FY22/23 FY23/24
Acholi 66 45 98.5% 102.2% 101.5% 102.2%
Ankole 89 77 77.5% 114.3% 97.8% 100.0%
Bugisu 114 97 100.0% 89.7% 95.6% 84.5%
Bukedi 46 51 106.5% 98.0% 95.7% 96.1%
Bunyoro 103 83 79.6% 92.8% 74.8% 95.2%
Busoga 116 123 92.2% 82.1% 81.9% 99.2%
Kampala 180 183 99.4% 98.9% 98.3% 98.9%
Karamoja 12 30 108.3% 110.0% 91.7% 113.3%
Kigezi 38 35 84.2% 100.0% 94.7% 102.9%
Lango 45 53 106.7% 111.3% 104.4% 113.2%
North Central 126 126 77.0% 84.9% 80.2% 84.9%
South Central 87 109 90.8% 89.0% 77.0% 86.2%
Teso 63 44 117.5% 120.5% 95.2% 111.4%
Tooro 96 80 94.8% 88.8% 69.8% 81.3%
West-Nile 95 86 107.4% 94.2% 96.8% 90.7%
Uganda 1,276 1,222 94.1% 95.4% 89.1% 94.8%

Key Notifications & Reviews

>100 65 -90
90 -100 65 -90

26. Perinatal death reviews increased to 61.3% in FY 2023/24 from 43.1% in FY 2022/23. However, peri-
natal death notification reduced to 61.3% from 63.4% in the previous year. All LGs reported a perinatal
death in the FY 2023/24..

FIGURE 51: MAP SHOWING THE PROPORTION OF PERINATAL DEATHS REVIEWED BY LG IN FY 2023/24

Whereas there is some improvement in the perinatal deaths reviews some regions are still performing
below the national average of 50%, and these include Bunyoro (39.9%), South Central (25.6%), North
Central (37.4%), and Tooro (44.5%).

64 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

TABLE 46: PROPORTION OF REVIEWED PERINATAL DEATH NOTIFICATIONS AND REVIEW BY REGION
Region FY 2023/2024
Total Perinatal Perinatal death Notification Perinatal death Review
Deaths rate_24HRs (%) rate (%)
Acholi 1,424 94.2 86.4
Ankole 1,591 55.3 73.7
Bugisu 1,085 109.5 74.7
Bukedi 1,012 80.7 68.4
Bunyoro 2,000 50.9 39.9
Busoga 2,442 64.0 79.0
Kampala 3,127 25.1 65.0
Karamoja 571 95.6 80.7
Kigezi 841 102.1 99.8
Lango 1,103 97.8 96.0
North Central 2,580 52.1 37.4
South Central 2,362 35.7 25.6
Teso 1,077 75.9 68.8
Tooro 1,301 48.9 44.5
West Nile 1,983 64.4 55.9
National 24,499 61.2 61.3

PDN/ PDR (%)

>50%
<50

Birth asphyxia remains the leading cause of early neonatal death followed by complications of prematurity
and septicaemia over the past 5 years.

FIGURE 52: TRENDS IN THE LEADING CAUSES OF NEONATAL DEATHS IN UGANDA

60 59
49 52
47 48

23 25
14 12 16
8 11 11 11
6 7 7

FY2018/19 FY2019/20 FY2020/21 FY2021/22 FY2022/23 FY2023/24

Birth Asphyxia (%) Complications of Prematurity(%) Septicaemia(%)

27. Under-five Vitamin A second dose coverage – declined from 70% to 47%. Some districts, like
Butaleja, Buvuma, and Arua, report very low coverage rates (32- 38%), while others, including Wakiso,
Gulu, and Kitgum, show moderate progress (42-44%).

28. Proportion of pregnant women receiving ferrous sulphate/folate supplement on first visit- stag-
nated at 67% in the last two FYs. Regions like Kigezi and Lango demonstrated significant improve-
ments, with Iron and Folic Acid coverage rising from 76.1% to 78.1% and from 70.6% to 75.2%,
respectively. However, several regions fell short of the target, including South Central and Busoga,
where coverage decreased or remained below the target. Regions such as Acholi and Ankole also
show modest improvements but did not reach the target..

MINISTRY OF HEALTH 65
FIGURE 53: PREGNANT/LACTATING MOTHER RECEIVED IRON& FOLIC ACID SUPPLEMENTATION BY REGION

85% 85%

76.1
73.1

71.4
71.4
70.8

70.6
69.5

66.8

78.1
64.6

64.6

75.2

62.9

66
72.6

63
72.1

71.3
70.8

70.6
70.3

58.4
70.2

57.9
64.1

63.9
63.8
63.4

59.2
57.5
Acholi Ankole Bugisu Bukedi Bunyoro Busoga Kampala Karamoja Kigezi Lango North South Teso Tooro West Nile
Central Central

FY2022/23 FY2023/24 Target (85%)

2.4 ESSENTIAL MEDICINES AND HEALTH SUPPLIES (EMHS)

2.4.1 Average availability of EMHS
The average availability of a basket of 41 tracer commodities in the last quarter of FY 2023/24 was 64%
in 4,211 functional reporting health facilities (GoU & PNFPs), compared to 58% in FY 2022/23. The Lab
basket had the highest average availability of 79% in the last quarter of FY 2023/24, followed by TB (74%),
RMNCAH (67%) and EMHS (58%). The 43% availability of the ARVs basket captures the old regimen and
therefore does not reflect the actual availability of the current ARV regimen. The MoH has actively transi-
tioned from legacy and single pill ARVs to optimal fixed dose combinations to enhance health outcomes
and client quality of life. A new list of 50 items including the recommended first and second-line ARV
tracers was uploaded on the DHIS2 at the end of August 2024 and therefore, expect to accurately trace
availability of the ARVs basket beginning this FY.

The proportion of facilities having over 95% availability of a basket of commodities in the last quarter of the
FY dropped from 37% in 2021/22 to 15% in 2022/23 and increased to 22% in 2023/24. This is far below
the annual target of 75%.

TABLE 47: AVAILABILITY FOR THE 41 COMMODITIES AT HEALTH FACILITIES IN FY 2023/24

Indicator Disaggregation Q4 Q4 Q4 Q4 Target Q4
FY2019/20 FY2020/21 FY2021/22 FY2022/23 FY2023/24 FY2023/24

Average percentage availability EMHS 82% 81% 72% 47% 90% 58%
of a basket of 41 commodities ARVs 70% 79% 81% 45% 90% 43%
based on all reporting facilities
in the previous quarter TB 86% 85% 84% 69% 90% 74%
LAB 80% 78% 72% 73% 90% 79%
RMNCAH 79% 83% 80% 57% 90% 67%
Overall 79% 81% 78% 58% 90% 64%
Percentage of facilities that had EMHS 49% 43% 31% 3% 75% 5%
over 95% availability of a basket ARVs 33% 29% 36% 1% 75% 1%
of commodities in the previous
quarter. TB 67% 63% 57% 35% 75% 42%
LAB 46% 39% 31% 33% 75% 48%
RMNCAH 33% 39% 28% 2% 75% 12%
Overall 46% 43% 37% 15% 75% 22%

66 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

Indicator Disaggregation Q4 Q4 Q4 Q4 Target Q4
FY2019/20 FY2020/21 FY2021/22 FY2022/23 FY2023/24 FY2023/24
Percentage availability of EMHS 47% 69% 57% 97% 80% 84%
supplies for a basket of 41 ARV 57% 63% 61% 75% 80% 61%
Commodities and health supplies
at Central Level Warehouses TB 67% 67% 67% 83% 80% 75%
(NMS and JMS). LAB 56% 52% 63% 78% 80% 77%
RMNCAH 64% 55% 66% 79% 80% 55%
Overall 58% 61% 63% 82% 80% 70%
Data Sources: HMIS & Warehouse Online Stock Status Reports

On the other hand, overall availability of supplies for a basket of 41 Commodities and health supplies at
Central Level Warehouses (NMS and JMS) also reduced from 82% in FY 2022/23 to 70% in FY 2023/24.
Non-availability of commodities has a negative impact on quality of services and utilization.

Trends show that availability for all baskets of commodities progressively improved through the 4 quarters
except for ARVs reason being that commodities currently tracked cover a small section of ART Clients and
the others are obsolete which essentially affected availability of ARVs and then the LAB and TB baskets
had the highest availability.

FIGURE 54: AVERAGE AVAILABILITY OF A BASKET OF 41 COMMODITIES PER QUARTER IN FY 2023/24

% Availability

78 77 79
73 74 74 71
68 67
58 60 63 63
54 58 56
44 48 45 43

EMHS ARV TB LAB RMNCAH

Q1 Q2 Q3 Q4

FIGURE 55: MAP SHOWING AVERAGE AVAILABILITY OF A BASKET OF 41 COMMODITIES BY LG IN FY 2023/24

Source: MoH DHIS2

MINISTRY OF HEALTH 67
HMIS 105-6 (stock status) completeness reporting continued to remain steady across facilities as of June
2024, due to the intensive mobilization of Biostatisticians and district leadership. However, due to a DHIS2
downtime reporting was affected in the months of November 2023 and January 2024. Decentralizing data
entry to facilities continued, and daily checks of data entered in DHIS2 alerts Biostatisticians to follow up
on reporting.

FIGURE 56: MONTHLY MEDICINE STOCK STATUS REPORTING RATES AND COMPLETENESS OF REPORTING IN FY 2023/24

95% 94% 96% 94% 95% 95% 95% 94% 96% 97%
89% 92%

87% 85% 84% 84% 84% 87%

82% 80% 80% 81%
73% 77%

Jul-23 Aug-23 Sep-23 Oct-23 Nov-23 Dec-23 Jan-24 Feb-24 Mar-24 Apr-24 May-24 Jun-24

Source: MoH DHIS2 100% Complete reporting Reporting Rate

2.4.2 EMHS Credit Line at National Medical Stores (NMS)

There was an 24.8% increase in the budget for EMHS at NMS from UGX 464 billion in FY 2022/23 to UGX
548 billion in FY 2023/24. This is inclusive of the credit line and program commodities. Significant increase
was realized for Public Health Emergencies (298%), UHI (84.5%), nutrition commodities (75.1%), HIV & TB
Laboratory Commodities (48.5%), HC IVs (73.4%), RRHs (50.1%) and HC IIs (48.8%).

It is worth noting that although NCDs are on the increase and are now the second most cause of
death among the adult population, there was no increase in the budget allocation for NCD commod-
ities. Government to increase funding for NCD commodities at all levels of care.

TABLE 48: PUBLIC HEALTH FACILITY CREDIT LINE BUDGET ALLOCATIONS

Level of Care Budget Holder No. of HFs FY2023/24 FY2024/25 %age
change
HC II Credit line 1,772 15,163,236,942 22,561,594,424 48.8%
HC III Credit line 1,350 47,684,761,813 56,735,549,136 19.0%
HC IV Credit line 204 22,432,000,000 38,894,805,195 73.4%
GH Credit line 52 22,531,010,130 31,686,048,828 40.6%
RRH Credit line 18 22,184,228,057 33,296,326,030 50.1%
NRH Credit line 5 24,365,600,000 27,141,818,182 11.4%
Uganda Heart Institute Credit line 1 2,000,000,000 3,690,630,013 84.5%
Uganda Blood Transfusion Services Credit line 1 38,852,835,000 42,350,649,351 9.0%
NCDs Commodities Credit line 2,033,000,000 2,033,000,000 0.0%
General Laboratory supplies Credit line 13,000,000,000 44,512,987,013 242.4%
Sub total 210,246,671,942 302,903,408,170 44.1%
Nutrition Commodities Program 5,250,000,000 9,191,926,476 75.1%
Malaria Commodities Program 7,768,402,297 7,768,402,297 0.0%
MCH Commodities Program 23,832,240,000 23,832,240,000 0.0%
Family Planning Commodities Program 2,960,523,750 5,053,965,000 70.7%
HIV & TB Laboratory Commodities Program 51,369,862,500 76,293,453,750 48.5%
ARV Medicines Program 197,368,395,000 197,368,421,053 0.0%

68 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

Level of Care Budget Holder No. of HFs FY2023/24 FY2024/25 %age
change
TB management commodities Program 9,350,482,275 13,175,675,700 40.9%
Vaccines and Associate Supplies (Plus Program 29,000,000,000 29,000,000,000 0.0%
Hep B Meds)
Oxygen commodities Program 9,155,321,250 10,967,073,750 19.8%
Public Health Emergencies Program 1,999,998,750 7,960,000,000 298.0%
Sub total 338,055,225,822 380,611,158,026 12.6%
Grand Total 548,301,897,764 683,514,566,197 24.7%

*Public expenditure on commodities

2.4.3 EMHS Credit Line for PNFP’s at Joint Medical Stores (JMS)
An amount of UGX 19,573,429,615 (Thirteen billion, five hundred and seventy-three million, four hundred
twenty-nine thousand six hundred and fifteen shillings) was released from MoH for 545 beneficiaries PNFP
health facilities for FY 2023/2024.

There was however an additional amount of UGX 107,843,608 (One hundred seven million eight hundred
forty-three thousand six hundred eight shillings) that was carried forward from the previous FY.

The EMHS Credit Line funding towards PNFP health facilities has remained same over the last 5
years. The available funding only covers 37% of the PNFP sector need leaving a huge gap of 63%.
There is urgent need to increase the EMHS funding for the PNFP sector by the GOU.

TABLE 49: EXPENDITURE IN UGX FOR EMHS AT JMS BY LEVEL OF CARE

Expenditure by Opening balance Funds received Total funds available Funds Utilized Bal of Annual Allocation JMS %
Level of Care from FY 2022/2023 for FY 2023-2024 for Utilization in FY 2023-2024 to be spent next FY Spent
HC II 5,993,401 1,220,759,789 1,226,753,190 1,226,627,939 125,251 100%
HC III 3,026,744 1,925,338,740 1,928,365,484 1,925,604,175 2,761,310 100%
HC IV 4,706,527 642,533,179 647,239,706 645,835,188 1,404,519 100%
Hospital 94,116,935 9,784,797,907 9,878,914,842 9,840,052,836 38,862,006 100%
Total 107,843,608 13,573,429,615 13,681,273,223 13,638,120,137 43,153,086 99.7%

TABLE 50: ANNUAL EXPENDITURE IN UGX FOR EMHS AT JMS BY AFFILIATION

Expenditure by Opening balance Funds received Total funds available Funds Utilized Bal of Annual Allocation JMS %
Level of Care from FY 2022/2023 for FY 2023-2024 for Utilization in FY 2023-2024 to be spent next FY Spent
CBO 5,108 33,314,656 33,319,764 33,110,062 209,702 99%
GOU - 173,048,225 173,048,225 173,047,727 498 100%
Partnership 60,003,838 77,039,648 137,043,486 137,008,894 34,592 100%
PNFP 564,009 330,781,160 331,345,169 331,320,469 24,700 100%
UCMB 24,373,242 8,073,293,465 8,097,666,707 8,064,958,472 32,708,235 100%
UMMB 3,044,130 646,737,168 649,781,298 648,332,433 1,448,865 100%
UOMB 28,027 10,010,855 10,038,882 10,035,211 3,670 100%
UPMB 19,825,255 4,229,204,438 4,249,029,693 4,240,306,870 8,722,823 100%
Total Expenditure 107,843,608 13,573,429,615 13,681,273,223 13,638,120,137 43,153,086 99.68%
Closing Balance C/F 43,153,086

MINISTRY OF HEALTH 69
2.5 HEALTH FINANCING
2.5.1 Health Financing Landscape in Uganda
In Uganda, the health system is generally financed through two main modalities which are on-budget and
off-budget. The financing to these modalities comes through a variety of stakeholders who include the
Government of Uganda, private sector, households, and Health Development Partners (HDPs). According
to the latest Uganda’s National Health Accounts (NHA) of FY 2020/21, contributions during that period were
as follows; HDPs at 45.4%, Private sector (mainly household out of-pocket and voluntary health insurance
schemes) at 29% and Government at 25.6%.

The same report also indicated that the Total Health Expenditure (THE) in FY 2020/21 was UGX 8.71 trillion,
compared to UGX 7.79 trillion in FY 2019/20. Whereas the Current Health Expenditure (CHE) was UGX 8.41
trillion in FY 2020/21 compared to UGX 7.39 trillion in FY2019/20. The report further noted that even with
an increase in government health expenditure, there exists a high share of CHE from HDPs most of which
is off budget at 45.4% and this requires alignment of this resource to the sector priorities and workplans.

In addition, the findings showed a partial reduction in Out of Pocket (OPP) expenditure as a share of CHE.
However, there is need to minimize this expenditure in nominal terms, since catastrophic expenditure on
health affects over five million Ugandans. This, therefore, calls for effort to pursue risk pooling interventions
like the National Health Insurance Scheme and Social Health.

Figure 57 below indicates the trends in health financing of five financial years within a decade period FYs
(2010/11 to 2020/21) and it is evident that there is continued reliance on HDP funding. There is need for
Government to mobilize more domestic resources for health as a long-term strategy and reduce cata-
strophic expenditure for households.

FIGURE 57: HEALTH EXPENDITURE SHARES IN UGANDA

48.7%
43.0% 41.7% 45.4%
40.9%
40.3%
35.8% 36.6%
32.1% 31.3%
29.0%
25.6%
18.9%
15.5% 15.3%

2010/11 2015/16 2018/19 2019/20 2020/21

Fiscal Year Private Sector
Government Development Partners

As shown in Table 51, in FY 2023/24, the approved budget for the health subprogram increased by 10%
from UGX 3,685 trillion in FY2022/23 to UGX 4,052 trillion. The increase came from both Government
and Development partners. In terms of percentage share contributions, Government had 62% whereas
External Financing was at 38%.

TABLE 51: APPROPRIATED BUDGET ALLOCATIONS FOR THE HEALTH SECTOR DURING THE PERIOD UNDER REVIEW
Budget Category Approved Budget UGX Suppl. Budget UGX Revised Budget UGX Percent Share
(billions) (billions) (billions)
Wage 1,164.33 0.3 1,164.65 29%
Non-Wage Recurrent 1,100.61 75.6 1,176.21 27%
GoU Development 230.54 14.65 245.19 6%
GOU Contribution 2,495.48 90.57 2,586.05 62%
External Financing 1,556.66 0 1,556.7 38%
Total 4,052.14 95.03 4,147.17 100%
Source: MoFPED MTEF & UBOS

70 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

The Government contribution of 62% comprised wage UGX 1.164 trillion (29%), Non-Wage-Recurrent Ugx
1.100 trillion (27%) and GoU Development was UGX 230 billion (6%). It should be noted the health sector
received supplementary funding totaling to UGX 95.03 billion that financed the Medical Interns and Senior
House Officers allowances, taxes under Global Fund, equipment acquisition under UHI and UCI, blood
mobilization activities under UBTS and retooling project under UVRI. The external financing of UGX 1.556
trillion (38%) of which UGX 985bn was under Global Fund for TB, HIV and Malaria, UGX 320 billion was from
UCREPP while UGX 120 billion came from GAVI.

Table 52 indicates that in FY 2023/24, the share of the health budget to the national budget was at 7.7%
compared to 7.6% the previous year. Although this falls below the Abuja Declaration of 15% the rate of
growth of the health budget reflects a consistent average share of above 7% over the period indicating
government’s continued commitment to improving the health needs of the population. Nevertheless,
discounting for inflationary factors the increasing population growth rate result in a very low per capita
allocation to health of UGX 81,859 (USD 22.4) that is inadequate to achieve UHC by 2030.

TABLE 52: GROWTH TRENDS IN BUDGET ALLOCATIONS TO THE HEALTH SECTOR OVER THE LAST 8 YEARS
Year Health Budget Total National Growth of: Health as % of total
(Billions) Budget National Budget Health Budget budget

2016/17 1,827 20,431 12% 44% 8.9%

2017/18 1,950 29,000 42% 6.7% 6.7%
2018/19 2,373 32,700 13% 18% 7.2%
2019/20 2,589 36,113 10% 9% 7.2%
2020/21 2,788 45,494 26% 8% 6.1%
2021/22 3,331 44,779 -2% 19% 7.4%
2022/23 3,685 48,130 7% 10% 7.6%
2023/24 4,052 52,740 9.6% 12.9% 7.7%
Source: MoFPED MTEF & UBOS

Figure 58 shows the proportional contributions to health by development partners and by the government
for the last 8 years. It shows that government contribution has risen by 10% from 52% to 62% in eight
years whereas that of the development partners dropped by the same percentage points during the same
period suggesting a good trend for increasing domestic resource allocation.

FIGURE 58: BUDGET ALLOCATION TRENDS IN HEALTH BY FUNDING SOURCE

GoU Domestic Funding(%) Donor Funding (%)
Percentage Contribution

45% 43% 43% 40% 38% 38%

48% 47%

55% 57% 57% 60% 62% 62%

52% 53%

FY2016/17 FY2017/18 FY2018/19 FY2019/20 FY2020/21 FY2021/22 FY2022/23 FY2023/24

Fiscal Years

MINISTRY OF HEALTH 71
2.5.2 Budget performance of the health-sub-program for FY 2023/24
Tables 53 and 54 indicate that the overall budget absorption (releases spent) performance for FY2023/24
was 82% for the entire health sector compared to 87% for last FY. Additionally, the budget execution rate
(budget spent) was 74% and the proportion of the budget released was at 90% which was a decline from
the previous Fiscal Year.

TABLE 53: HEALTH SECTOR BUDGET PERFORMANCE FOR FY 2023/24 BY BUDGET CATEGORY IN UGX. BILLIONS
Budget Category Approved Suppl. Revised Total Total Budget Budget % Budget
Budget Budget Budget Release Expenditure Absorption Execution Released
Rate Rate
Wage 1,164.33 0.30 1,165 1,165 1,063 91% 91% 100%
Non-Wage Recurrent 1,100.61 75.60 1,176 1,140 1,130 99% 96% 97%
GoU Development 230.54 14.65 245 226 225 99% 92% 92%
GOU Contribution 2,495.48 90.55 2,586 2,530 2,417.69 96% 93% 98%
External Financing 1,556.66 4.46 1,561 1,189 637 54% 41% 76%
Total 4,052.14 95.01 4,147 3,719 3,055 82% 74% 90%

2.5.3 Budget performance by health institutions and hospitals

Low absorption was registered at the MoH at 60%, LGs at 93% and the RRHs of Gulu at 91%, Fort Portal
at 90%, Jinja at 84% and Yumbe at 87% below the average of RRHs of 92%. The low level of release to
MoH, UCI, UHI and HSC consequently led to a low overall level of budget execution.

TABLE 54: PERFORMANCE BY VOTE UNDER HEALTH SUB-PROGRAM IN FY 2023/24.

Vote Approved Suppl. Revised Total Total Budget Budget % Budget
Budget Budget Budget Release Expenditure Absorption Execution Released
Rate Rate
Ministry of Health 1,692 43 1,735 1,382 830 60% 48% 80%
Uganda Aids Commission 17 1 18 17 17 99% 94% 95%
Uganda Cancer Institute 102 30 132 97 94 97% 71% 73%
Uganda Heart Institute 69 8 77 57 57 99% 74% 75%
National Medical Stores 588 - 588 584 584 100% 99% 99%
KCCA 15 0.5 16 16 16 100% 100% 100%
UVRI 7 2 10 10 10 100% 100% 100%
Health Service Commission 12 - 12 12 11 96% 91% 95%
UBTS 22 3 25 25 24 97% 97% 100%
Mulago 129 - 129 118 114 96% 88% 91%
Butabika Hospital 23 - 23 21 20 94% 89% 94%
Regional Referral Hospitals 339 8 346 344 316 92% 91% 99%
Local Governments 1,037 - 1,037 1,037 962 93% 93% 100%
Total 4,052 95 4,147 3,719 3,055 82% 74% 90%

The main reasons for low absorption include weak performance by externally funded projects due to
procurement delays, especially at the MoH. In addition, some RRHs implementing G2G project activities
also faced challenges due to late releases. The votes also faced constraints in paying pension and gratuity
due to delays in verification while most of the LGs could not absorb wage due to the recruitment freeze.

During the fiscal year under review, the projects in the health sector had a budget of UGX 1,557 billion of
which UGX 1,189 billion was released translating into 76%. There were no releases totaling to UGX 368
billion for projects under UCI, UHI, Mulago NRH and Drive under MoH due to various reasons. The absorp-
tion rate for the projects was 54% while the execution rate was at 41% all this was attributed to delays
in obtaining “no objections” from the project funders that affected procurements timelines, and other

72 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

operational challenges like delayed submission of immunization accountabilities from LGs and restructuring
of UCREPP under the World Bank. This calls for government and HDPs to increase the level of releases to
improve the overall budget execution rates..

TABLE 55: BUDGET PERFORMANCE OF EXTERNALLY FUNDED PROJECTS IN THE HEALTH SECTOR
Project Approved Total Total Budget Budget % Budget
Budget Release Expenditure Absorption Execution Released
Rate Rate
Global Fund 985 711 318 45% 32% 72%
Rehabilitation and Construction of GHs 19 22 22 100% 100% 100%
GAVI 120 120 61 51% 51% 100%
URMCHIP 9 0.67 0.67 100% 7% 7%
Strengthening Capacity of RRH 25 - - 0% 0% 0%
Italian Support 15 15 0.425 3% 3% 100%
UCREPP 321 321 235 73% 73% 100%
Total MoH Project 1,493 1,189 637 54% 43% 79%
Uganda Cancer Institute 15 - - 0% 0% 0%
ADB Support to UCI 10 - - 0% 0% 0%
ADB Support to UCI 10 - - 0% 0% 0%
Total UCI Project 35 - - 0% 0% 0%
Uganda Heart Institute Infrastructure Development 17 - - 0% 0% 0%
Project
Total UHI Project 17 - - 0% 0% 0%
Mulago NRH 11 - - 0% 0% 0%
Total Mulago Hospital Project 11 - - 0% 0% 0%
Grand Total for Health Sector 1,557 1,189 637 54% 41% 76%

Overall, the absorption rate of the health sector was satisfactory at 82% with more resources spent
on activities towards disease promotion and implementation of integrated high impact interven-
tions for the prevention, control and elimination of communicable, and NCDs. However, there is
need for the sector to address the issues affecting the performance of externally funded projects.
Efforts should be on pinpointing the causes of delays in procurements and approval process both
from the government, donors and users and devising the remedies in a timely manner.

MINISTRY OF HEALTH 73
2.6 EMERGING ISSUES FOR FURTHER ANALYSIS, DISCUSSION AND
PRIORITIZATION DURING THE 30TH JRM
1. KRA 1: Improved Skills Mix
(a) The health workforce accounts system is not fully functional. The iHRIS can only track health workers
in the public excluding the private sector. There is need to institutionalize the National Health Workforce
Accounts to track the entire health workforce in the country.
(b) Despite availability of trained health workers in the country, staffing levels have remained low (34%
based on the new structure and 74% based on the old structure).

2. KRA 2: Reduced morbidity and mortality of the population

(a) Up to 23.5% of adults 18 – 69 years have hypertension however, 84.3% of population with raised
blood pressure are not on medication for raised blood pressure. Among the population above years,
hypertension (old cases and new cases) is the second most cause of death reported in health facilities.
(b) Low rate of cancer screening (cervical, breast and prostate) due to limited awareness and access to
the services.
(c) Malaria remains the leading cause of morbidity accounting for 29.4% of all OPD attendances in FY
2023/24. Malaria interventions in the country have not been put to scale.
(d) ART retention rate at 12 months is far below target of 95%.
(e) West Nile region has the highest number of new leprosy cases, with over 79% (244) of the cases in
FY 2023/24 due influx of refugees from Congo and South Sudan.
(f) Hepatitis B Birth Dose vaccination coverage is still very low at 36% in FY 2023/2024 largely due to lack
of vaccines.
(g) Low IPTP3 uptake. ANC attendance in 1st trimester is only 37%.
(h) Only 65% health facility deliveries were reported in the HMIS yet UDHS 2022 reported 86%.
(i) Only 60% of HC IVs provide CeMNOC services. A total of 73 HC IVs (47 government, 16 PHP and 10
PNFP) do not provide blood transfusion services and 5 do not provide C/S services.
(j) Neonatal conditions are the leading cause of health facility deaths among all ages followed by pneu-
monia, malaria, anaemia and hypertension. Birth asphyxia remains the leading cause of early neonatal
death followed by complications of prematurity and septicaemia.
(k) Measles Rubella vaccination (MR2) coverage is still very low at 41% implying that many children have
not completed their vaccination doses.

74 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

3. KRA 3: Improvement in the social determinants of health and safety
(a) Stunting in children under five is still high at 26% (male, 22.9% and females, 29.2%).
(b) Prevalence of obesity is increasing especially among women at 12.3% compared to men at 6.2%
(STEPS 2023), and children under 5 years 3.4% (UDHS 2022).
(c) Alcohol consumption in Uganda is high with 31.1% of population 18 – 69 years being current drinkers
(past 30 days) compared to 28.5% in 2014. 5% of respondents experienced family/partner problems
due to someone else’s drinking. (STEPS 2023). Alcohol abuse rate is 4.4% (high-end level drinkers)
although it has reduced from 16.7% in 2014.

4. KRA 4: Reduced fertility and dependence ratio

(a) The 20.5% unmet need for family planning for all women is far from the MoH Strategic Plan target of
14% for FY 2023/24.

5. KRA 5: Universal Health Coverage

(a) Almost 6 in every 10 (64%) of the population utilized the Primary Health Care services provided at the
lower-level public health facilities (HC IVs, IIIs and IIs) and thus the need for continued infrastructure
improvement and funding for implementation of the new essential health care package.
(b) Under or no reporting from private health facilities.
(c) There are variations in outputs per health facility, e.g. outputs for the different hospitals at the RRH
or general hospital level vary. There is need to develop a mechanism for resource allocation including
medicines and health supplies based on outputs than standardization.
(d) The average availability of a basket of 41 tracer commodities in the last quarter of FY 2023/24 was
64% (GoU & PNFPs health facilities) is far below the 90% availability target, whereas avaialbility at the
Central Warehouses was 70% against a target of 80%.
(e) Per capita allocation for medicines and health supplies of USD 3.1 is far below the recommended US
12.
(f) NCDs are on the increase and are now the second most cause of death among the adult population,
however there was no increase in the budget allocation for NCD commodities. This contributes to high
out of pocket expenditure on health.
(g) The GOU PHC Grant for PNFP health facilities has remained same over the last 5 years. The available
funding only covers 37% of the PNFP sector need leaving a huge gap of 63%. What can be done to
reduce this funding gap?
(h) The very low GoU per capita allocation to health of UGX 81,859 (USD 22.4 against the WHO recom-
mendation of USD 86) is inadequate to achieve UHC by 2030.
(i) Poor budget performance (absorption rate) of externally funded projects at MoH contributes to ineffi-
ciencies in utilization of available resources. This is largely due to delays in procurements and approval
process both from the government, donors.
(j) Health insurance coverage of 1% in Uganda is still very low to address issues of out-of-pocket expen-
diture and impoverishment due to health spending.

6. KRA6: All key forms of inequality reduced

(a) The regions of North Central Buganda, Busoga, Bunyoro and South Central Buganda have the lowest
service coverage scores yet they constitute 39.7% of the population in Uganda

MINISTRY OF HEALTH 75
CHAPTER 3
Local Government and
Health Facility Performance

© UNICEF/UN0832288/Wamala
3.1 THE LEAGUE TABLES (LT)
The Local Government (LG) performance assessment is based on the LT
against several selected indicators for the five years of the national health
strategy. During FY 2023/24 there were 145 LGs and Kampala City Council
Authority (KCCA). This section will show the LT performance for all the 145
LGs and KCCA (National) and at the regional level based on the 15 UBOS
sub-regions.

76 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

3.1.1 The National League Table
The national average score for the LG League Table increased from 71.8% in FY 2022/23 to 73.6% in FY
2023/24. 31.5% (46/146) of the LGs scored above the national average of 73.6%. Table 56 shows the total
LT scores and ranking by LG in FY 2023/24. The detailed LT scores per indicator can be seen in the Annex
5.1.

TABLE 56: DLT RANKING FOR FY 2023/24

LG Population Score (%) Rank LG Population Score (%) Rank
Lira City 262,300 90.76 1 Kalungu 189,200 72.25 74
Kiruhura 205,300 89.24 2 Kaliro 317,900 72.14 75
Soroti City 77,200 88.10 3 Kassanda 334,100 72.06 76
Rubanda 213,400 84.27 4 Kamwenge 469,532 71.67 77
Fort Portal City 122,100 84.26 5 Alebtong 286,400 71.19 78
Kween 118,000 83.63 6 Lamwo 231,202 71.15 79
Budaka 278,600 82.70 7 Buikwe 499,800 71.01 80
Jinja City 280,900 81.83 8 Bugweri 205,600 70.93 81
Nebbi 306,300 81.80 9 Omoro 216,400 70.89 82
Mbarara City 234,700 81.80 10 Kitgum 232,900 70.89 83
Kwania 234,600 81.74 11 Kibuku 278,200 70.74 84
Kiboga 183,300 81.74 12 Tororo 639,700 70.64 85
Kampala 1,915,802 81.54 13 Kaabong 134,400 70.36 86
Bundibugyo 285,000 81.46 14 Ngora 178,400 70.28 87
Kabale 256,900 81.34 15 Buhweju 156,900 70.13 88
Mbale 291,000 80.71 16 Ntungamo 569,200 70.10 89
Gulu City 225,500 80.64 17 Pakwach 219,000 70.04 90
Agago 262,500 79.98 18 Kyankwanzi 323,900 70.01 91
Rukiga 107,200 79.70 19 Luuka 281,600 69.98 92
Manafwa 186,300 79.66 20 Lira 253,700 69.93 93
Amolatar 182,000 79.42 21 Gulu 127,000 69.89 94
Bushenyi 254,200 79.39 22 Amudat 151,900 69.82 95
Katakwi 209,700 79.19 23 Karenga 73,100 69.73 96
Pallisa 399,500 79.12 24 Kayunga 427,100 69.25 97
Sironko 290,500 79.11 25 Terego 319,835 69.13 98
Ibanda 290,900 79.09 26 Kamuli 596,100 69.12 99
Sheema 226,300 78.39 27 Bugiri 536,400 69.04 100
Oyam 491,600 77.69 28 Bulambuli 264,500 68.93 101
Bududa 307,200 77.61 29 Serere 401,800 68.92 102
Luwero 558,100 77.60 30 Mityana 378,800 68.84 103
Bukwo 137,200 76.75 31 Kagadi 474,700 68.81 104
Apac 249,600 76.62 32 Kabarole 235,400 68.81 105
Abim 182,800 76.58 33 Mayuge 615,200 68.80 106
Kaberamaido 148,700 76.38 34 Mubende 641,800 68.54 107
Kapchorwa 133,900 76.06 35 Gomba 180,300 68.26 108
Arua City 371,000 76.05 36 Jinja 254,900 68.19 109
Rukungiri 342,000 76.02 37 Mpigi 305,300 67.76 110
Busia 416,700 75.97 38 Nakaseke 254,900 67.45 111
Koboko 293,623 75.96 39 Bukedea 291,800 67.32 112
Mbale City 348,700 75.95 40 Masaka City 237,200 67.24 113
Amuru 232,500 75.86 41 Yumbe 974,665 66.99 114
Kotido 219,700 75.62 42 Mukono 757,500 66.68 115
Namayingo 247,400 75.53 43 Ntoroko 80,700 66.64 116

MINISTRY OF HEALTH 77
LG Population Score (%) Rank LG Population Score (%) Rank
Otuke 150,600 75.24 44 Kakumiro 601,900 65.79 117
Dokolo 232,900 75.12 45 Namutumba 336,400 65.37 118
Bunyangabu 208,000 75.07 46 Mbarara 179,300 65.19 119
Iganga 436,800 75.02 47 Nakasongola 233,400 64.85 120
Nabilatuk 102,500 74.91 48 Rwampara 153,100 64.62 121
Kole 308,800 74.85 49 Hoima 277,800 64.51 122
Maracha 219,500 74.80 50 Kalaki 155,400 64.12 123
Pader 206,700 74.77 51 Butebo 125,700 64.11 124
Kanungu 289,400 74.74 52 Buyende 468,400 64.10 125
Zombo 306,100 74.72 53 Obongi 185,653 63.93 126
Kitagwenda 197,800 74.67 54 Kalangala 74,500 63.33 127
Masaka 127,600 74.63 55 Kyegegwa 682,413 63.29 128
Kibaale 234,800 74.51 56 Kapelebyong 112,500 63.18 129
Mitooma 198,900 74.35 57 Buvuma 154,200 62.70 130
Hoima City 135,300 74.11 58 Nakapiripirit 128,100 62.28 131
Lyantonde 119,600 74.11 59 Arua 168,400 61.91 132
Kyotera 271,100 73.98 60 Buliisa 171,300 61.80 133
Amuria 248,500 73.68 61 Masindi 366,900 61.76 134
Kasese 843,900 73.56 62 Isingiro 857,130 61.54 135
Butambala 110,900 73.49 63 Kikuube 553,010 60.88 136
Kiryandongo 450,964 73.41 64 Moroto 126,300 60.80 137
Kyenjojo 584,400 73.18 65 Nwoya 314,300 60.62 138
Adjumani 463,493 73.17 66 Wakiso 3,519,300 60.57 139
Namisindwa 247,900 72.87 67 Soroti 323,800 60.38 140
Kisoro 332,200 72.83 68 Sembabule 319,300 60.30 141
Rubirizi 151,500 72.80 69 Butaleja 332,200 60.00 142
Moyo 116,400 72.76 70 Bukomansimbi 158,400 59.32 143
Napak 166,200 72.75 71 Rakai 338,900 58.76 144
Kumi 309,500 72.54 72 Lwengo 297,200 56.37 145
Kazo 240,400 72.35 73 Madi-Okollo 338,256 51.44 146
LT Average Score 72.6

78 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

3.1.2 The Regional League Table
The Regional League Table has been compiled for the 15 Regions based on the UBOS sub-regions. Overall, the regional LG scores have improved in all regions. Kigezi
region ranked first with 77.1% followed by West Nile (77.0%). Busoga (64.7%), Bunyoro (63.5%) and South Central (59%) have remained the lowest performing
regions.

TABLE 57: REGIONAL LEAGUE TABLE RANKING

No. Region Local Governments Population Scores
2023/24 2023/24 2022/23 2021/22 2020/21
1 Kigezi Kabale, Kanungu, Kisoro, Rubanda, Rukiga & Rukungiri 1,541,100 80.2% 76.5% 63.4% 66.5%
2 Bugisu Bududa, Bukwo, Bulambuli, Kapchorwa, Kween, Mbale, Namisindwa & Sironko 2,358,400 80.0% 76.9% 66.0% 63.4%
3 Kampala KCCA 1,915,802 76.5% 75.6% 44.4% 63.6%
4 Tooro Bundibugyo, Bunyangabu, Kabarole, Kamwenge, Kasese, Kitagwenda, Kyegegwa, Kyenjojo & Ntoroko 3,709,245 75.7% 69.8% 61.2% 64.3%
5 Teso Amuria, Bukedea, Kaberamaido, Kalaki, Kapelebyong, Katakwi, Kumi, Ngora, Serere & Soroti 2,281,800 73.7% 71.2% 53.7% 63.9%
6 Bukedi Budaka, Busia, Butaleja, Butebo, Kibuku, Pallisa & Tororo 2,470,600 72.7% 66.7% 54.2% 62.4%
7 Acholi Agago, Amuru, Gulu, Kitgum, Lamwo, Nwoya, Omoro & Pader 2,049,002 72.7% 71.7% 60.5% 63.9%
8 West Nile Adjumani, Arua, Koboko, Madi-Okollo, Maracha, Moyo, Nebbi, Obongi, Pakwach, Terego, Yumbe & Zombo 4,283,825 72.5% 68.7% 51.6% 62.1%
9 Karamoja Abim, Amudat, Kaabong, Karenga, Kotido, Moroto, Nabilatuk, Napak & Nakapiripirit 1,285,000 72.1% 73.0% 62.4% 62.4%
10 Ankole Buhweju, Bushenyi, Ibanda, Isingiro, Kazo, Kiruhura, Mbarara, Mitooma, Ntungamo, Rubirizi, Rwampara & Sheema 3,782,030 70.3% 68.7% 51.5% 63.3%
11 Lango Alebtong, Amolatar, Apac, Dokolo, Kole, Kwania, Lira, Otuke & Oyam 2,652,500 69.6% 74.7% 58.9% 64.0%
12 Bunyoro Buliisa, Hoima, Kagadi, Kakumiro, Kibaale, Kikuube, Kiryandongo & Masindi 3,266,674 66.8% 58.4% 42.7% 53.5%
13 North Central Buikwe, Buvuma, Kassanda, Kayunga, Kiboga, Kyankwanzi, Luwero, Mityana, Mubende, Mukono, Nakaseke & Nakasongola 4,746,900 66.5% 68.8% 43.7% 58.9%
14 Busoga Bugiri, Bugweri, Buyende, Iganga, Jinja, Kaliro, Kamuli, Luuka, Mayuge, Namayingo & Namutumba 4,577,600 66.3% 58.6% 44.9% 64.3%
15 South Central Bukomansimbi, Butambala, Gomba, Kalangala, Kalungu, Kyotera, Lwengo, Lyantonde, Masaka, Mpigi, Rakai, Sembabule & Wakiso 6,331,300 61.0% 57.7% 42.6% 54.7%

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 79

There was varied performance against all the indicators as displayed in the Dashboard below (56).
(a) DPT3 Coverage: BBugisu (106.7%), Lango (104.8%), Teso (103%) and Busoga (99.7%) regions achieved
coverage above the national target of 98%.
(b) TB Case Notification Rate: The national target for TB case notification rate was 179/100,000 however
several interventions were implemented, and these have resulted in identification of more TB cases
across the country. South Central (157.7/100,000), Busoga (157.7/100,000), West Nile (147.9/100,000),
Bukedi (130.5/100,000) and Teso (121.4/100,000) regions registered notification rates below the target
of 179/100,000
(c) IPTp3 coverage: This was below the national target of 77% in all regions and poor performance could
be attributed to the stock out of commodities across the country and late ANC attendance.
(d) ANC 4th visit: Only 4 regions of Kampala (67.7%), Lango (63.6%), Kigezi (57.4%) and Acholi (55%)
achieved the national target of 54%. Tooro (48.6%) and South Central (33.3%) regions had the lowest
visits.
(e) Health Facility Deliveries: 5 out of the 15 regions achieved the target of 72% with Kampala having
93.6% of facility deliveries. Busoga (59.7%) Bunyoro (56.6%), West Nile (55.6%) and South Central
(47.8%) had the lowest health facility deliveries.
(f) Under-five Vitamin A second dose coverage: Only Karamoja region achieved above the national
target of 70%.
(g) The proportion of pregnant women tested for HIV during the current pregnancy: None of the
regions achieved the target of 100%. Testing was highest in Kampala (96.2%), Teso (92%), Lango
(89.7%) and Bugisu (89.5%).
(h) ART Viral Load suppression rate: None of the sub-regions achieved the VL suppression rate target of
94% for the year. Lango (82.4%), Acholi (80.3%), Bugisu (80.1%) and Karamoja (76%) regions had the
lowest VL suppression rate.
(i) DPT1 to Measles Rubella Drop Out Rate: Only four regions registering dropout rate of <5. MR
Dropout rate was highest in Busoga region at 12.6%, followed by Lango (8.3%) and Bukedi (8.3%).
(j) Maternal Death reviews: Most of the regions achieved the target of 90% except Bugisu (89.6%) and
South Central (83.9%)
(k) Perinatal Death Reviews: Marked improvement registered in the perinatal death reviews across all
regions. The following were below the national target of 42%, Bunyoro (39.7%), North Central (38.8%)
and Bunyoro (25.6%).
(l) Proportion of under 5 dewormed in the last 6 months: All regions except Kampala achieved the
national target of 75% for the year.

80 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

TABLE 58: REGIONAL LEAGUE TABLE DASHBOARD FY 2023/24

(%)

ART VL
Under 5

TB Case

DPT 3 (%)
Notification
Rate/100,000
Out Rate (%)
reviewed (%)
reviewed (%)

IPTp3 Cov (%)

Deliveries (%)
A 2nd dose (%)

ANC 4 Visit (%)

Under-5 Vitamin
Perinatal deaths

Maternal deaths
dewormed in the

Pregnant women
last 6 months (%)

DPT1 to MR Drop

tested for HIV (%)

Suppression Rate
Region
Kigezi 92.6 158.5 57.4 57.4 74.6 60.5 75.5 90.1 2.0 97.1 99.5 104.2
West Nile 81.7 147.9 41.4 43.8 55.6 54.5 65.4 84.3 0.4 98.9 53.1 116.3
Bugisu 106.7 163.5 54.9 55.0 82.0 53.3 89.5 80.1 0.7 89.6 77.4 106.7
Tooro 94.0 172.5 46.0 48.6 67.2 52.6 78.3 85.6 -6.4 90.6 44.4 98.4
Teso 103.0 121.4 53.1 51.7 74.1 45.2 92.0 84.9 6.3 121.3 62.0 86
Kampala 85.3 374.4 43.0 67.7 93.6 40.0 96.2 89.8 5.1 99.5 65.0 70.7
Bukedi 93.5 130.5 57.6 53.0 76.8 36.5 88.3 86.6 8.2 98.0 68.5 92
Lango 104.8 220.9 60.8 63.6 68.1 63.0 89.7 82.4 8.3 114.5 93.3 111.6
Karamoja 94.7 330.0 53.0 53.8 65.8 77.1 83.9 76.0 7.2 109.1 79.9 130.2
Ankole 84.4 187.1 52.2 52.2 66.2 48.2 65.7 87.3 7.3 98.8 73.8 82.4
Acholi 90.7 169.4 48.2 56.0 67.7 37.1 88.8 80.3 5.4 100.0 85.1 83.0
North Central 94.2 198.4 46.8 47.9 66.9 41.1 82.6 91.5 7.6 90.6 38.8 79.9
Busoga 99.7 157.7 46.0 49.9 59.7 44.7 88.8 84.1 12.6 96.9 77.5 79.3
Bunyoro 81.4 209.1 38.4 42.8 56.4 50.0 79.5 88.0 7.9 100.0 39.7 83.3
South Central 83.0 157.7 31.9 33.3 47.8 31.9 58.2 88.2 6.6 83.9 25.6 92.5
National 95 182.6 46.5 49.1 64.9 46.7 78.6 86.9 5.6 97.1 60.8 92.7
Target FY 2023/24 98.0 179.0 77.0 54.0 72.0 70.0 100.0 94.0 <5 90.0 42.0 75.0
98 > >179 77> 54 > 72 > 70 > 95 > 94 > <5 90> 42 > 75 >
90 - 97 158 - 178 60 – 76 40 - 53 60 - 71 60 - 69 80 – 94 84 - 93 4 - 10 70 - 89 30 - 41 60 - 74
<90 <158 <60 <40 <60 <60 <80 < 84 >10 < 70 < 30 <60

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 81

3.2 HEALTH FACILITY LEVEL PERFORMANCE
3.2.1 Health Facility Performance
Health Facilities in Uganda are categorized by level of care into HC (Level II, III & IV) and Hospitals (General,
Regional Referral, National Referral and Specialized referral Hospitals) and by ownership into Public, PNFP
and PHPs. The HCs provide primary care services with HC IIIs providing Basic EmONOC services and HC
IVs providing comprehensive EmONOC services. General Hospital provide general surgical services in
additional comprehensive EmNOC services. The referral Hospitals provide a range of services that also
includes specialist services.

In 2023 the Health Subprogram adopted use of Ambulatory Patient Groups (APGs) and Diagnosis Related
Groups (DRGs) to measure the volume of outputs from the outpatient and inpatient services respectively.
DRG is a patient classification scheme which provides means of relating the type of inpatients a health
facility treats (i.e., it’s case mix) to the costs incurred by the health facility to treat those patients. They are
used to group patient cases with similar clinical conditions and treatment needs into categories or groups
to which relative weights are attached. The relative weight takes into the principal diagnosis, treatment or
procedure received as well as patient characteristics.

APGs are like DRGs but relate to the outpatients managed by the facility. Each outpatient visit is assigned
to an Ambulatory Patient Group based on the principal diagnosis, procedure or assessment conducted
as well as patient characteristic. Each APG is also assigned a relative weight based on the relative cost of
services consumed.

The APGs and DRGs give a more accurate/detailed estimation of the volume or quantity of outputs produced
by each health facility when compared to the previously used Standard Unit of Output which never consid-
ered the complexity of cases managed by facilities at the different levels.

Performance of the health facility was also assessed using quality and efficiency indicators. The quality
indicators which included.
(i) Inpatient Case fatality rate
(ii) Institutional Perinatal Mortality Rate
(iii) Institutional Neonatal Mortality Rate
(iv) Institutional Maternal Mortality Risk

While the efficiency indicators included.

(i) Bed Occupancy Rate (BOR)
(ii) Average Length of Stay (ALOS)

The health facility League Tables have been prepared using an Olympic style ranking based on Total DRGs
score followed by Total APGs in case of ties.

3.2.1.1 Contribution of Health Facility Outputs by Level of Care and Ownership

Tables 59 and 60 below show the contribution of APGs and DRGs by level of care and ownership. The HCs
provided 81% of the outpatient services and 29% of the inpatient services down from 89% of outpatient
and 43% respectively. The changes were in part due to variable reporting. The sector in general continued
to be skewed towards increased access to PHC services which most of the population need.

Public facilities contributed for 80% of outpatient services and 70% of inpatient services, while PNFP facil-
ities accounted for 14% of outpatient services and 25% of inpatient services. The PHP facilities accounted
for 6% of outpatient services and 4.8% of inpatient services. It should however be noted that there is
generally limited reporting by PHP facilities.

82 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

TABLE 59: APG CONTRIBUTION BY LEVEL OF CARE AND OWNERSHIP
NRH RRH GH HC IV HC III HC II Total %
GoU 395,194 1,150,277 10,289,727 8,677,753 43,950,713 23,717,165 88,180,829 80%
PNFP - 1746193 5,366,417 419,571 4,578,702 3,481,687 15,592,570 14%
PHP - - 1,847,363 255,777 1,003,608 3,850,781 6,957,529 6%
2023/24 Total 395,194 2,896,470 17,503,507 9,353,101 49,533,023 31,049,633 110,730,928 100%
% 0.4% 2.6% 15.8% 8.4% 44.7% 28.0% 100.0%
2022/23 Total 964,802 3,220,108 11,832,784 18,372,076 66,484,353 38,608,563 139,482,685 100%
% 1% 2% 9% 13% 48% 28%

TABLE 60: DRG CONTRIBUTION BY LEVEL OF CARE AND OWNERSHIP

NRH RRH GH HC IV HC III HC II Total %
GoU 535,048 2,022,262 1,606,401 538,973 850,990 15,274 5,568,274 70.5%
PNFP - 259,988 1,000,843 56,274 565,757 66,691 1,957,553 24.7%
PHP - - 208,399 29,817 89,802 49,293 377,311 4.8%
2023/24 Total 535,048 2,282,250 2,815,704 623,062 1,506,550 131,258 7,903,138
% 6.7% 28.8% 35.6% 7.9% 19% 1.9%
2022/23 Total 280,076 646,986 1,092,919 782,469 722,555 91,463 3,616,468 100%
% 8% 18% 31% 21% 20% 2%

3.2.2 Performance of National Referral and Specialised Hospitals

3.2.2.1 APGs and DRGs for National Referral and Specialised Hospitals
The Total DRGs from NRHs increased from 280,076 in FY 2022/23 to 535,048 and the Total APGs reduced
from 964,802 in FY 2022/23 to 395,194. Mulago NRH had the highest DRG (285,447) and APG score
(147,706). Overall, there was a two-fold increase in DRGs from NRH from FY 22/23 to FY 23/24 mainly
attributed to improved reporting. The DRGs from Uganda Cancer Institute (UCI) and Uganda Heart Institute
(UHI) were captured as part of Mulago NRH. The APGs from NRHs reduced by 50% which could point to
improved performance of public and private facilities around Kampala. It is recommended that UHI and
UCI be provided with separate codes and begin to report independently as Specialised National Referral
Hospitals.

TABLE 61: APG & DRGS SCORES FOR NATIONAL REFERRAL AND SPECIALISED HOSPITALS FY 2023/24
Hospital No. of admissions Total OPD APGs DRGS
Mulago NRH 60,814 355,282 147,706 285,447
Kawempe NRH 55,428 34,906 34,328 127,937
Kiruddu NRH 16,735 94,837 109,109 89,898
China Uganda Friendship (Naguru) NRH 18,006 122,150 49,908 9,414
Mulago SWNH 8,155 11,350 2,817 13,397
Butabika NRH 5,281 83,018 51,326 8,951
Total 2023/24 164,419 701,543 395,194 535,048
Total 2022/23 152,270 622,926 964,802 280,076

3.2.2.2 Service Quality Outcomes at NRHs

The overall in-patient mortality rate for National Referral and Specialised Hospitals stagnated at 9% when
compared to FY 22/23, however the range improved from 1% to 19% to 1% to 16%. The low inpatient
mortality rate for Butabika and Mulago SWN Hospital is expected given the nature of cases at these hospi-
tals. Kiruddu and Mulago NRH continued to have the highest inpatient mortality rates at 16% and 12%
respectively.

MINISTRY OF HEALTH 83
Compared to FY 22/23, the average Institutional Perinatal Mortality Rate at this level stagnated at 93 per
1,000 but the range improved to 41 - 116 from 43 – 120 per 1,000 births. This as expected is still higher
than the national average of 17.8/1,000 births given that NRHs handle more severe cases upon referral. The
maternal mortality risk at NRHs increased from 503 per 100,000 deliveries to 561 per 100,000 deliveries
compared to the national average of 83 per 100,000 deliveries. Mulago SWNH had a sharp increase in
IMMR from 895 per 100,000 to 1,456 per 100,000 deliveries while Kawempe NRH experienced a moderate
increase from 610/100,000 to 678 per 100,000 deliveries. Given the relatively low patient load at Mulago
SWNH a focused technical support supervision to understand the issues behind the increase in IMMR is
recommended. .

TABLE 62: SERVICE QUALITY ASSESSMENT FOR NATIONAL REFERRAL AND SPECIALISED HOSPITALS FY 2023/24

Newborn deaths
Fresh Still Births

Maternal deaths
Macerated Still

Neonatal Death
Mortality Rate

IMMR/100,000
Admissions

death/1,000

INMR/1000
(8-28 days)
Live births
Deliveries

(0-7 days)

Perinatal
Inpatient
Deaths

Births
Hospital
Mulago NRH 60,814 715 12 0 0 0 0 0 0 0 0 0 0
Kawempe NRH 55,428 3,467 6 18,634 18,364 404 560 1,196 116 143 72 128 687
Kiruddu NRH 16,735 2,739 16 0 0 0 0 0 0 0 0 0 0
CUFH (Naguru) NRH 18,006 437 2 8,457 8,457 89 107 153 41 9 19 9 106
Mulago SWNH 8,155 413 8 1,803 1,821 28 36 36 94 29 75 27 1,498
Butabika NMRH 5,281 116 1 0 0 0 0 0 0 0 0 0 0
Total 2023/24 164,419 13,087 9 29,259 28,912 521 703 1,456 93 181 57 164 561
Total 2022/23 152,270 13,087 9 32,397 31,580 633 796 1,498 93 155 52 163 503

3.2.2.3 Bed Occupancy Rate (BOR) & Average Length of Stay (ALOS) at NRHs
The average BOR and ALOS for National Referral and Specialised hospitals were 83% and 6 days respec-
tively. Butabika NMRH has the highest BOR (210%) and ALOS (52 days). The almost double BOR has
implications on the quality of services provided as well as the need for operational costs including utilities
and human resource. There is need to increase financing as well as decongest Butabika NMRH to enable
provision of quality services. The over 100% BOR for Kawempe and CUFH Naguru also calls for a decon-
gestion plan which may include expansion of these hospitals or upgrading of surrounding HC to hospitals
to improve quality of service delivery. Mulago SWNH with a BOR of 29% is significantly under utilised..

TABLE 63: BOR AND ALOS FOR NATIONAL REFERRAL AND SPECIALISED HOSPITALS IN FY 2023/24
Hospital No. of Beds Admissions BOR ALOS
Mulago NRH 1,034 60,814 46 3
Kawempe NRH 381 55,428 111 3
Kiruddu NRH 357 16,735 58 4
CUFH (Naguru) NRH 100 18,006 102 2
Mulago SWNH 309 8,155 29 2
Butabika NMRH 550 5,281 210 52
Total 2023/24 2,731 164,419 83 6
Total 2022/23 2,731 152,270 83 6

84 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

3.2.3 Performance of RRHs and Large PNFP
3.2.3.1 Overall Ranking of RRHs and Large PNFPs
Given the similarity of the patient profile in regional referral and large PNFP hospitals a relative ranking has been produced based on the following parameters.
(i) Outputs – 60%
(ii) Quality – 20%
(iii) Efficiency – 20%

The best preforming hospital for a given indicator was given a maximum score for that indicator and other hospitals scored relative to it. The Hospitals were then ranked
relative to their total scores. Mbale RRH with a total score of 64.8% was the best preforming RRH followed by Arua RRH 49.7% and Hoima RRH 47.1%.

TABLE 64: HOSPITAL LEAGUE TABLE - RRH & LARGE PNFP

Macerated still
DRG Ranking

Name
No. of
admissions
Total OPD
Number of
Deaths
Inpatient
Mortality Rate
Score (max) 5)
Deliveries
Live births
Fresh still birth
birth
Newborn
deaths
Perinatal
death/1000
Score (Max 5)
Neonatal Death
8-28 days
Neonatal
mortality rate
Score
(Max - 5)
Maternal
deaths
MMR/
100,000
Score (Max -5)
Bed Occupancy
Rate
Score
(max -10)
ALOS
Score (max - 10)
APG Ranking
Score (Max -20)
Score (max - 40)
Total Score (%)

Mbale 58,169 97,496 3,750 6 3.3 7,816 7,521 214 257 37 68 3.0 1 5 1.2 75 960 2.6 78 13.3 3 10.2 98,142 4 295,262 40.0 64.8
Arua 19,673 101,789 1,965 10 2.1 6,794 6,519 127 122 8 39 5.1 0 1 5.0 19 280 8.9 79 13.5 4 6.6 83,285 4 172,442 23.4 49.7
Hoima 27,099 94,265 2,087 8 2.7 7,308 6,964 205 139 242 84 2.4 38 40 0.2 57 780 3.2 93 16.0 3 7.7 116,068 5 178,744 24.2 47.1
Mengo 11,418 294,809 357 3.1 6.8 3,422 3,418 19 42 11 21 9.5 - 3 1.9 3 88 28.3 38 6.5 3 8.0 361,731 15 30,686 4.2 45.5
Lubaga 9,085 149,991 384 4.2 5.0 3,409 3,444 17 26 31 21 9.3 - 9 0.7 5 147 16.9 45 7.7 3 8.2 472,378 20 16,945 2.3 44.7
Jinja 32,949 159,111 2,269 7 3.1 5,967 5,727 158 142 137 76 2.6 77 37 0.2 52 871 2.9 71 12.2 4 6.8 101,682 4 176,836 24.0 43.9
Gulu 30,980 117,737 715 2 9.2 5,660 5,453 51 77 87 39 5.1 13 18 0.3 8 141 17.6 66 11.4 3 9.6 36,260 2 122,528 16.6 43.4
St. Kizito Matany 14,424 38,504 616 4.3 4.9 1,853 1,858 35 24 29 47 4.2 7 19 0.3 3 162 15.3 107 18.3 7 4.0 322,751 14 62,576 8.5 42.3
St. Francis Nsambya 11,691 121,044 787 6.7 3.1 2,372 2,423 8 29 20 24 8.5 5 10 0.6 3 126 19.6 28 4.7 3 8.2 321,434 14 61,451 8.3 42.0
Fort Portal 23,323 185,419 1,859 8 2.7 6,418 6,087 73 83 47 33 6.0 0 8 0.8 27 421 5.9 58 10.0 4 7.3 16,751 1 166,222 22.5 41.1
Lira 28,958 87,102 2,070 7 3.0 6,028 5,941 105 121 11 40 5.0 0 2 3.3 12 199 12.5 126 21.6 7 4.0 95,750 4 98,573 13.4 40.9
Yumbe 12,207 52,790 337 3 7.7 2,536 2,478 36 41 21 40 5.0 3 10 0.6 6 237 10.5 25 4.3 3 10.0 109,011 5 110,135 14.9 40.1
Mbarara 42,450 131,617 3,892 9 2.3 8,599 8,295 144 181 141 56 3.6 6 18 0.3 45 523 4.7 78 13.4 4 7.6 66,780 3 132,170 17.9 38.3
St. Mary's Lacor 23,330 71,967 2,685 11.5 1.8 5,889 5,747 73 117 182 65 3.1 75 45 0.1 16 272 9.1 83 14.2 6 4.3 267,898 11 88,332 12.0 38.2
Mubende 26,103 94,121 1,748 7 3.2 5,435 5,279 111 89 88 55 3.7 10 19 0.3 27 497 5.0 89 15.4 3 10.4 59,625 3 102,036 13.8 37.9
Kayunga 19,008 73,906 969 5 4.1 4,114 3,907 92 59 46 50 4.0 1 12 0.5 23 559 4.4 77 13.2 3 9.0 95,788 4 89,320 12.1 36.2
Soroti 22,333 45,036 1,651 7 2.9 4,070 4,304 80 70 24 40 4.9 0 6 1.1 16 393 6.3 122 20.9 5 5.1 13,941 1 97,785 13.2 34.6
Kabale 14,576 80,160 1,004 7 3.1 3,587 3,528 44 47 109 57 3.5 18 36 0.2 8 223 11.1 60 10.3 4 6.4 58,861 2 103,661 14.0 32.9
Moroto 14,423 73,269 575 4 5.3 1,282 1,276 32 12 56 78 2.5 9 51 0.1 8 624 4.0 89 15.2 5 4.9 97,545 4 72,057 9.8 30.5
Masaka 30,895 149,846 2,421 8 2.7 8,900 8,625 112 167 261 63 3.2 40 35 0.2 35 393 6.3 60 10.4 2 10.9 34,689 1 61,785 8.4 29.1
Entebbe 10,395 57,999 402 4 5.5 4,323 4,206 60 65 59 44 4.6 33 22 0.3 9 208 11.9 46 7.9 3 9.9 66,099 3 42,706 5.8 29.1
Total 483,489 2,277,978 32,543 7 3.1 105,782 103,000 1,796 1,910 1,647 52 3.8 336 19 0.3 457 432 5.7 73 12.5 4 3.5 2,896,470 6 2,282,250 14.7 34.7

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 85

3.2.3.2 APGs and DRGs for RRHs and Large PNFPs
The performance of RRHs and Large PNFP is shown in Table 64 above. Large PNFP included high volume
PNFP Hospitals. The Total DRGs score for RRHs & large PNFP Hospitals was 2,282,250 a significant increase
from the total DRG of 646,986 reported last FY. The total APG on the other hand fell from 3,220,108 to
2,282,470. The variations could be attributed to variations in reporting rates, completeness and accuracy
of reports. Regular data validation at these hospitals is recommended. Mbale RRH continued to have a
very high DRGs score which is attributed to the hospital having a higher catchment population serving the
regions of Bugisu, Sebei and Bukedi. This calls for the need to decongest Mbale RRHs by establishing
another RRHs in the catchment area as well functionalizing the lower-level health facilities.

3.2.3.3 Service Quality Outcomes at RRHs & Large PNFPs

The overall in-patient mortality rate for RRHs and large PNFP Hospitals remained at 7%, with a range of
2% at Gulu RRH to 11.5% at St. Mary’s Hospital Lacor. The overall Institutional Perinatal Mortality rate for
RRHs and Large PNFP Hospitals reduced to 52/1000 from 55/1,000 live births, the range also improve
to 21- 88/1,000 from 19 - 102/1,000 live births last FY. This is however as expected still higher than the
national average of 17.8/1,000. Institutional NMR reduced to 19/1000 from 32/1,000 live births last FY, with
a range of 2-45/1,000 compared to 3 - 59/1,000 live births last FY.

The overall IMMR for RRHs and Large PNFP hospitals reduced to 432/100,000 from 486/100,000 live
births last financial year this however compares unfavourably to the national average of 83/100,000 live
births. IMMR had a range of 88 to 960/1000 compared to 70 - 1,331/100,000 live births last FY. Mbale RRH
continued to have a very high IMMR (960/100,000) which could partly be attributed the high workload but
requires a more detailed assessment before wider conclusions including for other RRH that have a higher
IMMR than NRHs.

3.2.3.4 BOR and ALOS at RRHs & Large PNFPs

The average BOR at RRHs and Large PNFPs increased to 73% from 70%. Soroti, Lira and St. Kizito Matany
had BOR over 100% while Mengo, Lubaga, St Francis Nsambya and Entebbe RRH had BOR below 50%.
The low BOR in large PNFP hospital may point to financial hardships in accessing health services.

The ALOS at this level was 4 days with the highest at St. Kizito Matany (7) and Lira RRH (7). Masaka RRH
had the lowest ALOS at 2 days but given its generally below average quality scores this needs to be anal-
ysed further.

Hospital No. of beds No. of admissions Bed Occupancy ALOS

Rate
1 Mbale 250 58,169 78 3
2 Arua 278 19,673 79 4
3 Hoima 317 27,099 93 3
4 Mengo 221 11,418 38 3
5 Lubaga 277 9,085 45 3
6 Jinja 494 32,949 71 4
7 Gulu 360 30,980 66 3
8 St. Kizito Matany 229 14,424 107 7
9 St. Francis Nsambya 236 11,691 28 3
10 Fort Portal 406 23,323 58 4
11 Lira 400 28,958 126 7
12 Yumbe 320 12,207 25 3
13 Mbarara 296 42,450 78 4
14 St. Mary's Hospital Lacor 282 23,330 83 6
15 Mubende 598 26,103 89 3

86 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

 Hospital No. of beds No. of admissions Bed Occupancy ALOS
Rate
16 Kayunga 194 19,008 77 3
17 Soroti 518 22,333 122 5
18 Kabale 287 14,576 60 4
19 Moroto 313 14,423 89 5
20 Masaka 482 30,895 60 2
21 Entebbe 200 10,395 46 3
Total 2023/24 6,958 483,489 73 4
Total 2022/23 6,958 462,827 70 4

3.2.4 Performance of the General Hospitalss

3.2.4.1 APGs and DRGs for GHs
Relative ranking was also used to rank the performance of GHs using the following parameters.
(i) Outputs – 60%
(ii) Quality – 20%
(iii) Efficiency – 20%

A total 0f 193 GHs are coded in the DHIS2 and the 147 (76%) which reported on all parameters were
included in the ranking. The best preforming hospital on a given parameter was given the highest score
and the others scored relative to it. The hospitals were then ranked relative to their total percentage scores.

The top ten and bottom ten hospitals are shown in Table 65. Luwero GH was the highest ranked hospital,
followed by Mukono GH and Bethesda Hospital. Public Hospitals accounted for 8 out of the 10 best
performing hospitals due to their high-volume outputs, Bethesda and Doctors Plaza hospital had impres-
sive quality scores. Private hospitals dominated the bottom ten ranking mainly because of low volume
outputs and poor reporting. (Scores for all GHs are in Annex 5.3)

TABLE 65: HIGHEST AND LOWEST RANKED GENERAL HOSPITALS

Highest Ranked Lowest Ranked
Rank Hospital Name Ownership Score (%) Rank Hospital Name Ownership Score (%)
1 Luwero GOV 68.8 138 Restoration Gateway PNFP 9.8
2 Mukono GOV 65.1 139 Anbar PFP 9.8
3 Bethesda (Soroti) PFP 64.8 140 Nkokonjeru PNFP 9.5
4 Iganga GOV 59.2 141 Rhema PFP 9.4
5 Doctors Plaza PFP 57.8 142 Hope Missionary PFP 9.1
6 Kamuli GOV 57.1 143 Holy Cross Orthodox Mission Namungoona PNFP 8.9
7 Kitgum GOV 53.8 144 Great Lakes PFP 8.6
8 Tororo GOV 53.5 145 Medicare (Mpigi) PFP 8.5
9 Atutur GOV 52.5 146 Victory Women's Medical Care PFP 8.4
10 Kawolo GOV 51.8 147 Jaro PFP 8.4

3.2.4.2 APGs and DRGs for GHs

The Total DRGs from the GHs was 2,815,704 an almost threefold increase from last FY which was mainly
attributed to improved reporting. There was wide variation in total DRGs with Kitgum GH producing the
highest DRGs score of 65,014 DRGs.

The total APGs from GH was 17,503,507 an increase of 45% from last FY. Mukono GH produced the
highest APGs score of 595,974 while the lowest APGs scoring Hospital was URO Care Hospital with 832.
The performance of all the GHs is shown in Annex 5.3. Non reporting and incomplete reports continued to

MINISTRY OF HEALTH 87
be a major challenge for GH especially the PHP hospitals. It is recommended that regular reporting in the
DHIS-2 be made a requirement for licensing and reports be validated on a regular basis.

3.2.4.3 Service Quality Outcomes at GHs

The overall in-patient mortality rate for GHs was 3% a 25% improvement when compared to last financial
year. The inpatient mortality rate was 0 – 31%an improvement from the range of 0.3-39% reported during
FY 22/23. Particularly high inpatient mortality rates were reported at Al Shafa, Paragon and Old Kampala
hospital. Further assessments at these hospitals to determine the underlying causes are recommended.

The overall IMMR for GH was 170/100,000 deliveries, with a range of 0 to 1,361/100,000 deliveries. Several
of the GHs reported higher than average IMMR. The 20 Hospitals with the highest IMMR are shown in
Table 66 below. Focused technical support supervision to determine the underlying causes is required.

The overall IPMR increased from 35/1,000 births to 36/1000 while the range increase from 0-159/1,000 to
2 - 304/1,000 births. The INMR on the hand improved from 17/1,000 births in FY 22/23 to 11/1,000 births in
FY 23/24. The unfavourable perinatal indices require further investigation.

TABLE 66: GENERAL HOSPITALS WITH THE HIGHEST IMMR

General Hospital Ownership IMMR
Florence Nightingale PFP 1,361
Rugarama PNFP 622
Buluba PNFP 611
Virika PNFP 564
St. John XXIII Hospital Aber PNFP 555
Kamuli GOV 549
Kaabong GOV 503
Buliisa GOV 500
Lyantonde GOV 460
Kuluva PNFP 446
Abim GOV 421
Dabani PNFP 405
Kotido GOV 401
Amai Community PNFP 381
Kagando PNFP 381
Amudat PNFP 357
Katakwi GOV 332
Doctors Hospital Seguku PFP 332
Nkozi PNFP 313
Mayanja Memorial PFP 312

3.2.4.4 BOR and ALOS at GHs

The average BOR at GHs was 46% down from 47% with Kapchorwa GH reporting the highest bed occu-
pancy rate at 210%. The ALOS at this for GHs was 3 day, the same as for FY 22/23. Kapchorwa GH
reported the longest ALOS at 9.4 days.

88 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

3.2.5 Health Centre IV Performance
Relative ranking was also used to rank the performance of HC IVs using the following parameters.

(i) Outputs – 60%

(ii) Quality – 20%
(iii) Functionality – 10%
(iv) Efficiency – 10%

Only HC IVs reporting on all parameters were included in the ranking. For the output, quality and efficiency
indicators, the best preforming HC IV on a given parameter was given the highest (maximum) score and
the others scored relative to it. For the functionality indicators (Caesarean Section and Blood Transfusion
services) the HC IV was given a score of 5 points if it offered the service and 0 points if it did not offer the
service. The HC IVs were then ranked relative to their total percentage scores. Bujubuli HC IV was the best
performing HC IV, followed by Rwamwanja HC IV and Panyadoli HC IV. The best performing HC IVs were
serving communities reflecting the affirmative action by development partners who directly support these
facilities. A list of the highest and lowest ranked HC IVs is shown in table 67.

TABLE 67: HIGHEST AND LOWEST RANKED HC IVS

Highest Ranked Lowest Ranked
Rank HC IV Ownership Score Rank HC IV Ownership Score
1 Bujubuli GOV 82.6 221 Buhunga GOV 21.5
2 Rwamwanja GOV 73.7 222 St. Mary's Kakindo PNFP 21.4
3 Panyadoli GOV 66.9 223 Azur PNFP 21.2
4 Nabiganda GOV 63.5 224 Red Rose PFP 20.7
5 Kyangwali GOV 63.3 225 Holy Cross - Kikyusa PNFP 20.6
6 Kidera GOV 61.5 226 Kalangala GOV 20.6
7 Serere GOV 60.3 227 Hope PFP 20.5
8 Kibuku GOV 58.5 228 Busanza GOV 20.3
9 Budaka GOV 57.1 229 Ntungamo GOV 19.9
10 Bugobero GOV 56.5 230 Muko GOV 19.8
11 Butebo GOV 55.7 231 Maracha GOV 19.5
12 Ngora GOV 55.0 232 Bugamba GOV 19.4
13 Busia GOV 54.9 233 Palabek-Kal GOV 19.0
14 Bukedea GOV 54.2 234 Saidina Abubakar Islamic PNFP 19.0
15 Lalogi GOV 51.9 235 Mother Francisca Lechner PNFP 18.4
16 Rukoki GOV 51.6 236 Bukuya GOV 18.4
17 Budadiri GOV 51.5 237 Midas Torch PFP 18.2
18 Mukuju GOV 50.4 238 St. Mary's Kalule PNFP 17.1
19 Mayuge GOV 50.1 239 Medik PFP 16.6
20 Bumanya GOV 50.1 240 St. Luke PNFP 16.3
21 Butenga GOV 49.6 241 Mpungu GOV 14.1
22 Kawaala GOV 48.8 242 St. Ambrose Charity PFP 13.9
23 Goli PNFP 48.8 243 Kiyumba GOV 13.7
24 Tiriri GOV 48.8 244 Rugyeyo GOV 13.4
25 Apapai GOV 47.7 245 Bukasa GOV 13.3

3.2.5.1 ALOS, BoR, APGs and DRGs for HC IVs

The Total DRGs score from HC IVs reduced from 782,469 in FY 22/23 to 623,062 while the Total APGs
reduced from score was 18,372,076 in FY 22/23 to 9,353,101 in FY 23/24. This could to some extent indi-
cate improved performance of the HC IIIs. The total APGs and DRGs from individual Health Centres showed

MINISTRY OF HEALTH 89
marked variation. The DRGs had a range of 3-12,271 while the APGs had a range of 183 – 129,183. The
average BOR at HC IVs increased from 48% in FY 22/23 to 51.6% in FY 23/24. The ALOS also increased
from 2 days in FY 22/23 to 2.2 days in FY 23/24. Detailed HC IV rankings are shown annex 5.5

3.2.5.2 Functionality of HC IVs

HC IVs were established to improve access to Comprehensive Emergency Obstetric and Neonatal Care
(CEmONC) services. The proportion of HC IVs providing blood transfusion services increased from 53%
to 66.4% while the proportion providing caesarian section services decreased from 85.8% to 83.8%. The
trend in functionality of HC IVs over the years is shown in Figure 59 below. A total of 38 facilities did not
provide both C/S and blood transfusion services. lack of Anaesthetic staff is the main reason for absence
of C/S services while shortage of refrigerators and absence of a stable power source are the main reasons
for absence of blood transfusion services.

FIGURE 59: TRENDS IN FUNCTIONALITY OF HC IVS

85.8 83.8
82.2
81
78
70 72
68.2
66.4
63
55.6 53.9
51
45 48 47 46
45
41 41.8
37 38
36

27

2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21 2021/22 2022/23 2023/24

% conducting C/S % Had blood Transfusion

3.2.6 Health Centre III & II Performance

The overall performance of HC IIIs and IIs is shown in table 68. Generally, the government HC IIIs produced
more DRGs scores and APGs. However relatively the contribution of the private HC IIIs and IIs to the DRGs
at this level is significant and this can be attributed to the better quality of services by the private providers.
There is significant contribution of the public HC IIIs and IIs to the total APGs since they are the majority,
and they provide free health care.

TABLE 68: OUTPUTS FROM LOWER LEVEL HEALTH FACILITIES

Level Number of Ownership No. of Total OPD Total APG Total DRG
Health Facilities admissions
HC III 1,332 GOV 690,914 15,984,217 43,950,713 850,990
HC III 348 PNFP 310,004 530,386 4,578,702 565,757
HC III 198 PFP 31,380 1,890,294 1,003,608 89,802
HC II 1,749 GOV 13,953 8,712,540 23,717,165 15,274
HC II 452 PNFP 35,536 2,288,505 3,481,687 66,691
HC II 1,102 PFP 27,411 1,450,593 3,850,781 49,293
Total 5,181 1,109,198 30,856,535 80,582,655 1,637,807

90 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

3.3 COMMUNITY HEALTH SERVICES
The Community Health Workers (CHWs) program has made significant progress since its launch. To under-
stand its importance, it is essential to provide some background on the structure of community health
workers in Uganda. There are two main cadres at the community level: The Village Health Teams (VHTs) and
the Community Health Extension Workers (CHEWs).

3.3.1 Village Health Teams

On average, there are 179,175 VHT’s in Uganda and 2-3 VHT’s per village. 30% of the 179,175 VHTs in
Uganda did not undergo the required basic training and yet they are working as active VHTs. The 5-7 days
training of VHTs is inadequate to equip them with appropriate knowledge and skills needed to promote
all health programmes and as well as to provide quality services to the communities. Due to resource
constraints, supervision has not been adequately provided to ensure training is consistent for all VHTs.
Although the MOH and partners provided different kinds of motivation, there is no formal system for
tracking the different incentive packages and support given to the VHTs.

In FY 2023/24, a total of 28,302 VHTs were trained across 38 districts. This includes an additional 19,618
VHTs trained in 20 districts with support from UCREPP coordinated by the HPEC Department. 5,329 VHTs
who received training in eCHIS were also provided with mobile phones.

TABLE 69: NUMBER OF VHTS TRAINED AND TOOLED BY LG

SN District Numbers Tooled Partner Component Trained
1 Mayuge 168 Phones MRA eCHIS
2 Moyo 472 Phones AMREF eCHIS
3 Bukomansimbi 565 Phones Malaria Consortium eCHIS
4 Namayingo 612 Phones MRA eCHIS
5 Gomba 616 Phones Malaria Consortium eCHIS
6 Mpigi 912 Phones Malaria Consortium, UNFPA eCHIS , RMNCH
7 kamuli 984 Phones UNICEF eCHIS
8 Ntugamo 1,000 Phones UNICEF eCHIS
9 Amuru 200 UNFPA RMNCH , eCHIS
10 Amolatar 140 MRA ICCM
11 Alebtong 93 MRA ICCM
12 Lira District 428 MRA ICCM
13 Lira City 542 MRA ICCM
14 Bugweri 290 MRA ICCM
15 Iganga 464 MRA ICCM
16 Luuka 654 MRA ICCM
17 Moroto 286 MRA ICCM
18 Lamwo 258 MRA ICCM
19 UCREPP (20 Districts) 19,618 UCREPP Integrated Package
Total 28,302

3.3.2 Community Health Extension Workers

Pilot Phase
The Community Health Extension Workers (CHEWs) program has made significant strides since its incep-
tion as a pilot project in 2022. The pilot, initiated in Lira District, Lira City, and Mayuge, was launched with
support from USAID. Aiming to strengthen community health systems, a total of 334 CHEWs completed
training and were deployed to extend essential health services to households.

MINISTRY OF HEALTH 91
Scale Up
Building on the success of the pilot phase, the program has expanded to an additional eight districts, with
support from the Global Fund and the World Bank. The Global Fund has played a critical role in funding the
scale-up in seven districts—Kazo, Kyotera, Maracha, Namutumba, Ngora, Kyenjojo, and Koboko. In these
districts, CHEWs have completed an intensive 6-months training and have been equipped and trained.
Additionally, the World Bank has provided targeted support to Nakaseke District, where training is currently
ongoing.

As the program continues to gain momentum, additional funding from the Global Fund has been secured
to expand to six more districts: Rubirizi, Kitgum, Kalangala, Buliisa, Arua, and Amudat. These districts are
set to receive comprehensive support to ensure that CHEWs are effectively trained and equipped to serve
their communities.

TABLE 70: CHEWS TRAINING ROADMAP FOR 17 LGS

No. District Status No. of CHEWs
1. Lira Completed 92
2. Lira City Completed 75
3. Mayuge Completed 168
4. Kazo Completed 102
5. Kyotera Completed 132
6. Maracha Completed 182
7. Namutumba Completed 222
8. Nakaseke On-going 154
9. Kyenjojo On-going 334
10. Koboko On-going 124
11. Ngora On-going 146
12. Rubirizi Planned 106
13. Kitgum Planned 166
14. Kalangala Planned 34
15. Buliisa Planned 78
16. Arua Planned 64
17. Amudat Planned 88
Total 2,268

Dr Daniel Kyabayinze vaccinates a pupil at

the official launch of the house to house Polio
Vaccination Campaign

92 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

3.3.3 CHW Outputs
The MoH through the ICCM program supports Community Health Workers to screen and treat children The
MoH through the ICCM program supports Community Health Workers to screen and treat children under
5 years. From July 2020 to June 2024, the total number of cases initially increased by 1.4% between FY
2020/2021 and 2021/2022, followed by a further 4.6% rise in FY 2022/2023. However, there was a sharp
20.3% decline in FY 2023/2024. Fever cases saw a 5% decline in 2021/2022, followed by an 8.8% increase
in 2022/2023, but dropped by 16.6% in 2023/2024. Fast breathing cases rose significantly by 26.4% in
2021/2022, then dropped by 5.4% in 2022/2023, and fell sharply by 36% in 2023/2024. Diarrhoea cases
showed a slight 1.2% rise in 2021/2022, followed by a 0.2% decrease in 2022/2023, and a notable 17.6%
reduction in 2023/2024. Overall, the trend indicates fluctuating health conditions, with significant decline
in the most recent year.

FIGURE 60: CASES IDENTIFIED IN THE COMMUNITY

7000000

6000000

5000000

4000000

3000000

2000000

1000000

0
Jul 2020 to Jun 2021 Jul 2021 to Jun 2022 Jul 2022 to Jun 2023 Jul 2023 to Jun 2024

Total Fever Fast breathing Diarrhoea

Referrals from community

Community Health workers support linking people to care to the facilities they are attached to. While the
total number of cases screened in the community rose in the first few years followed by a sharp decline
in FY 2023/2024. This suggests that despite the decrease in total cases screened, a higher proportion of
cases were referred in last year.

7000000

6000000

5000000

4000000

3000000

2000000

1000000

0
Jul 2020 to Jun 2021 Jul 2021 to Jun 2022 Jul 2022 to Jun 2023 Jul 2023 to Jun 2024

Total Reffered

MINISTRY OF HEALTH 93
3.3.4 The Community Dashboard
The community health score compares performance across various program indicators as reported by the
VHTs through the standard HMIS report 097B.

The performance below is the color coded for the FY 2023/2024.

TABLE 71: COMMUNITY DASHBOARD

treated within 24hrs for Diarrhoea

% of children under who received

% villages with Stock out of RDTs

and treated within 24hrs for fever

% of under 5 years reported dead

% of children under 5 years with
% villages with stock out of the
% of Sick children seen by VHT

% of Sick children seen by VHT

% of Children seen by VHT and

% malaria cases that received

% of households with latrines

vitamin A in the last 6 months

% of households with hand-

and treated within 24hrs for

up-to-date immunization
washing facilities

in the community
pneumonia-

ACT

ACT
Uganda 47.7 90.6 58.2 90 96.1 33.1 34.8 37.6 99.5 2.1
Acholi 44.8 64.9 58.2 89.8 107.9 19.7 49 59.2 52.6 106.9 0.22
Ankole 72.3 77.2 81.1 75.2 95.6 2.6 6.3 27.3 20.2 94.1 2.1
Bugisu 51.5 61.5 60.2 89.8 149.7 26.3 68.1 14.1 14.1 145.5 3.9
Bukedi 88.8 87.8 66.5 95.3 163.9 19.3 77.1 40.5 27 3.2
Bunyoro 29.9 79 25.3 96.8 87.3 66.4 72.3 70.8 84.8 1.9
Busoga 30.6 37.1 35.9 89.7 110.5 29.7 35.3 108.8 2.3
Kampala 4.1 14.3 16 85.7 5.6 9.3 22.6 15.3 15.3 22.6 32.5
Karamoja 84.4 86.4 79.6 93.5 183 10.4 22.9 30.8 31.7 0.36
Kigezi 40.4 60 56.9 73.4 114.7 49.5 78.6 9.8 9.4 102.6 1.6
Lango 53.6 74.1 68.9 89.8 135.8 21.9 81 64.7 72.6 126 2.9
North Central 15.7 39.4 37.3 86.9 55.8 50.3 71.9 38.7 32.8 77.7 2.5
South Central 37.5 59.1 50.5 87.1 36.5 36.8 61.1 45.4 36.4 46.7 3.6
Teso 77.6 79.6 93.1 115.5 17 68.2 46.6 43.1 133.1 1.7
Tooro 48.9 93 46.9 101.3 63.9 22.8 70.8 77.5 71.1 68.8 0.96
West Nile 53.8 83.3 66.3 87.4 150.9 80.3 78.6 59 48.5 1.7

94 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

CHAPTER 4
Progress in Implementation
of the MoH Strategic Plan
Outputs for FY 2023/24

© UNICEF/UN0832288/Wamala

This chapter provides the progress in implementation of the MoH Strategic Plan 2020/21 – 2024/25 outputs
for FY 2023/24.

The Goal of the MoH SP is to “Strengthen the Health System and its support mechanisms with a focus on
Primary Health Care to achieve Universal Health Coverage by 2030”.

4.1 SUMMARY OF PERFORMANCE FOR THE MOH OUTPUTS FOR FY

2023/24
The total number of output indicators assessed this FY is 180 compared to 191 in the previous FY. The
MoH achieved 54.4% (98) of the planned output targets compared to 59% (113) in FY 2022/23; made some
progress though did not achieve the annual target for 18.9% (34) indicators compared to 11.5% (22) in the
previous FY; made very minimal or no progress for 26.7% (48) compared to 29% (55) indicators assessed.
20 indicators were not assessed this FY largely because these outputs were achieved in the prior year.

The objective areas with highest achievements for the planned outputs were 1) to improve functionality
and adequacy of health infrastructure and logistics (62.5%), followed by Strengthen disease surveillance,
disaster response and epidemic control at national and sub-national levels (60%). Low achievement of the
output targets was observed for Accelerating health research, innovation and technology development
(12.5%).

MINISTRY OF HEALTH 95
Key reasons for not achieving the planned targets are conflicting activities affecting scheduled governance structure meetings, no/inadequate funding and delayed
implementation.

TABLE 72: SUMMARY OF PROGRESS FOR PLANNED OUTPUTS FOR FY 2023/24

Objective Achieved Some progress Not achieved No Data / Not
planned this FY
No. of % No. of % No. of % No. of
Indicators Indicators Indicators Indicators
To strengthen health sector governance, management and coordination for UHC (41 indicators assessed) 22 54% 11 27% 8 20% 3

Strengthen human resources for health management and development. (13 indicators assessed) 7 53.8% 2 15.4% 4 30.8% 2
Increase access to nationally coordinated services for communicable and NCD / conditions prevention and 39 56% 7 10% 22 34% 13
control. (70 indicators assessed)
Strengthen disease surveillance, disaster response and epidemic control at national and sub-national levels. (15 9 60% 3 20% 3 20% 0
indicators assessed)
To improve functionality and adequacy of health infrastructure and logistics. (24 indicators assessed) 15 62.5% 5 20.8% 4 16.7% 1
To ensure availability of quality and safe medicines, vaccines and technologies. (11 indicators assessed) 5 45% 0 - 6 55% 1
Accelerate health research, innovation and technology development. (8 indicators assessed) 1 12.5% 6 75% 1 12.5% 0
FY 2023/24 (180 indicators) 98 54.4% 34 18.9% 48 26.7% 19
FY 2022/23 (191 indicators) 113 59% 22 11.5% 55 29% 1
FY 2021/22 (188 indicators) 96 51% 41 22% 47 25% 4

FY 2020/21 (179 indicators) 91 50% 37 21% 48 26% 5

Objective 1: To strengthen health sector governance, management and coordination for UHC
There are 16 outputs under objective one with 44 performance indicators of which 3 were not planned for assessment this FY. The MoH achieved 54% (22/41) of the
performance indicators; made some progress in 27% (11/41) and there was no or slow progress in 20% (8/41). Reasons for non-achievement include other competing
activities affecting holding of governance structure meetings, inadequate funds and delayed initiation of some activities.

TABLE 73: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 1 OF THE MOH STRATEGIC PLAN
Outputs Indicators Performance Targets Performance Remarks

2020/21 2021/22 2022/23 FY 2023/24

Intervention 1.1 Strengthen governance, management and effectiveness of the health sector at all levels
1. 1. Governance and management 1. Top Management meetings held (%) 25 50 83 100 60 Many competing activities affect the regularity of meetings
structures reformed and functional
2. HPAC meetings held (%) 50 75 100 100 90
3. Senior Management meetings held 92 100 100 100 92 March meeting overtaken by JRM
(%)
4. Technical Working Group meetings 65 100 100 100 75 Suboptimal performance in some of the TWGs e.g. HR,
held (%) (86/132) Clinical and Infrastructure
5. Departmental meetings held (%) 70.4 80 80 100 50
(152/216)
Intervention 1.2 Development of Strategic Plan and operational plans
2. Strategic plans developed 6. MoH 5-year strategic Plan developed NA NA NA NA
3. Annual MoH Operational plans 7. MoH Annual Workplan compiled Draft 1 1 1 1 Compiled timely
developed timely
4. Comprehensive District Health 8. Districts with evidence based annual 7.4 41 60 45 25 Inadequate resources for follow up of districts
Plans developed health plans (%)
Intervention 1.3 Develop / Review laws, regulations, policies, byelaws and ordinances relevant to health, enact new ones and monitor their implementation
5. Laws, regulations, policies 9. Laws, regulations and policies, 9 7 2 5 6 These include
developed / reviewed reviewed / developed (Number) (4 Passed &
3 pending The Public Health Amendment Act 2022,
presentation)
The Uganda Human Organ Donation and Transplant Act 2023,

National Drug and Health Products Bill 2024 drafted pending

submission to cabinet

Revised NHIS Bill 2023 pending approval by cabinet

National Health Policy 2024 – pending Cabinet approval

National Education and Training for Health Policy 2024

pending submission to cabinet

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 97

Outputs Indicators Performance Targets Performance Remarks

2020/21 2021/22 2022/23 FY 2023/24

6. Integrated Authority to improve 10. Joint Health Professionals Authority 0 0 0 Carried Pending Principles for amendment of the Uganda Health
quality assurance and regulatory in place. forward Professionals Regulatory Council Bill and the Laws governing
control systems and accreditation the Health Professional Councils drafted
across public and private
providers established
Intervention 1.4 Development of Standards, guidelines and SOP
7. Standards, Guidelines and 11. Standards, guidelines and 8 10 10 10 11 MoH QoC Implementation Plan, HMIS Support supervision
SOPs reviewed / developed, SOPs reviewed / developed and tool, MoH Regional Support Supervision Guidelines,
disseminated disseminated (Number) RHMNCHA QoC Implementation guidelines, Service
standards for Nutrition, updated the HFQAP tools for
RRHs, Occupational Health and Safety guidelines. Support
supervision guidelines, Patient Rights and Responsibility
Charter, Comprehensive National Health Service Standards,
National QI Framework and Strategic Plan.
Intervention 1.5 Strengthen Supervision and mentorship
8. Regional Technical Supervisory 12. Regional Supervisory Structures 4 0 16 14 16 Supported through G2G (7),
Structures established to support (Number)
District Health Service delivery. CDC (9)
9. Effective supervision and 13. Health Sub-programs political 6 8 12 6 6
mentorship undertaken Oversight visits undertaken (Number)
14. Quarterly integrated supervision 2 0 0 4 2 2 supported by GOU and UCREEP. Inadequate funding from
visits undertaken (Number) GOU
15. No. of technical supervision and 4 4 4 12 12 Support supervision by top management on Health service
mentorship visits undertaken delivery undertaken in Lira district, Ruharo, Lwebitakuli,
Butaleja, Sembabule, Kyangwali, Lira city, west Nile and
mid north region, Karamoja region, Jinja, Kazo, Kabarole,
Mitooma, Kumi,

Kumi Hospital, Mbale RRH and Jinja RRH

Intervention 1.6 Strengthen the National Quality Improvement system
10. Improved quality of care 16. Health providers accreditation 0 0 0 1 0 Had been planned for FY 21/22 and still not achieved due to
mechanism developed lack of funding
17. Laboratories accredited to ISO 15189 33 48 48 44 72 163% achievement
standards (Number)
18. Districts undertaking HFQA (%) 100 29 80 100 100 Supported through UgIFT RBF mainstreaming (HC IVs and HC
IIIs) and implementing partners (Hospitals & HCIIs).
Intervention 1.7 Enhance sector monitoring and evaluation
11. Sector performance monitored 19. MoH, and Programs (EPI, TB, HIV & 30 45 100 100 100
and evaluated Malaria) with M&E Plans ()
Outputs Indicators Performance Targets Performance Remarks

2020/21 2021/22 2022/23 FY 2023/24

20. Quarterly MoH performance reports 4 4 4 4 4 All quarterly reports were compiled
compiled (Number)
21. MoH quarterly review meetings held 2 2 4 4 2 Held bi-annually (Q3&4 FY 2022/23 & Q1&2 FY 2023/24)
(Number)
22. Quarterly budget performance 4 4 4 4 4
reports submitted (Number)
23. Annual Health Sector Performance 1 1 1 1 1 AHSPR compiled and disseminated during the JRM
Report compiled and disseminated
24. Annual Join Performance Review 1 1 1 1 1 19th JRM held in October 2023
held and aide memoire disseminated
25. Mid and end term evaluation of MoH NA NA Not done 1 Draft Midterm was planned for FY 2022/23 but initiated in the FY
and Strategic plan 2023/24 and currently have a draft report
Intervention 1.8 Strengthen Data collection, quality and use
12. Reliable and accurate HIS in place 26. Health Information Strategic Plan Draft 1 1 N|A N|A Already in place not planned for this FY
developed and disseminated
27. Health workers trained in data 232 66 206 150 240 Trained all district, City and Regional referral hospital
analysis and use (Number) Biostasticians. Additional cadres were trained (HMIS focal
person) hence the over performance.
28. Availability of HMIS tools at all health 49 62 46 75 60 Inadequate funding from the GoU and unrealized
facilities (%) commitments from partners that affected printing of critical
tools (clinical services tools, report forms, maternal child
health tools)
29. Monthly HMIS reports submitted on 96 89.2 69 100 91 33 LGs are below the national average of 91% (Jinja 53%,
time (%) Hoima City 58%, Ngora 60.9%, Jinja City 68%, Bugiri 68%,
Kampala 72%, Katakwi 72%, Soroti 76%).
30. Information products developed and 4 4 4 4 4 Weekly epi-bulletins (Malaria, TB, MPDSR, Surveillance)
shared quarterly
Digital and health information Monthly bulletins
31. Health Facility Atlas developed Planned for 1 1 1 1 Launched & disseminated in November, 2023
2021/22
32. Functionality of the National Health 40 70 100 100 60 The landing page is functional, and 60% of indicators are
Data Repository (%) populated with data. Delay due to technical challenges in
developing the observatory.
Intervention 1.9 Resource mobilization and equitable allocation
13. Equitable resource allocation and 33. Annual MPS, BFP developed and 100 100 100 100 100
efficient utilization submitted timely (%)
34. Annual budget tracking and 0 1 1 1 0 No funds
efficiency report produced and
disseminated

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 99

Outputs Indicators Performance Targets Performance Remarks

2020/21 2021/22 2022/23 FY 2023/24

35. Quarterly financial audits undertaken 4 4 4 4 4

(Number)
Intervention 1.10 Establish and operationalize mechanisms for effective collaboration and partnership for UHC at all levels
14. Functional multi-sectoral 36. Multi-sectoral framework, compact Draft Draft Draft 1 Draft Compact not yet signed
framework, compact and and accountability framework
accountability framework developed
developed
15. Partnerships and multi-sectoral 37. PPPH Strategic Plan 2020 – 2030 Draft 1 Draft A draft private sector engagement strategy 2024/25-2029/30
networks established and developed in place
strengthened
38. Health Sector Integrated Refugee Na Na Na N|A N|A There is an approved HSIRRP for FY 2019-2024, this plan
Response Plan developed expires in December 2024.
39. Refugee Health facilities integrated 15 0 0 20 0 No funds were allocated I FY 2023/24. These facilities have
into the District Health System been transitioned in FY 2024/25 in 8 RHDs of Kyegegwa,
(Number) Isingiro, Lamwo, Kamwenge, Kikuube, Adjumani, Terego and
Yumbe.
40. Reports for monitoring 4 4 4 4 4 Routine monitoring of the Refugee Health program is done
implementation of the Health Sector by GoU and partner support i.e. One joint monitoring mission
Integrated Refugee Response plan conducted in all RHDs by MoH and partners supported by
(Number) UNHCR, 3 support supervision visits conducted in all RHDs
under UGIFT &UCREPP support
41. Annual stakeholder analysis and 1 1 1 1 1 A stakeholder mapping database is updated routinely i.e.
mapping undertaken Mapping of health partner interventions done in selected
districts of Busoga and Ankole sub regions supported by
WHO
42. Stakeholder engagement meetings / 8 4 4 4 6 Engagements were conducted with different key
workshops held (Number) stakeholders to enhance solidarity in action and better
coordination i.e. RHN TWG and PPPH TWG meetings
conducted. Consultative meetings with IGAD, MAKSPH, PAU,
POE and Private Sector Providers
43. Regional and International health 10 4 11 4 8 Held engagements like the WHA May, EAC Sectoral Council
partnership meetings attended on Health April 2024, IGAD and ECSA June 2024 Health
(Number) Ministers’ Conference Review and finalization of the EAC-
GIZ regional pandemic preparedness and response plan,
reviewed the implementation of the multinational COVID-19
response in East Africa funded by AfDB, reviewed the EAC
regional response to disease outbreaks such as COVID-19
and Marburg.
44. Reports on non-state actor 4 1 0 1 0 No report submitted.
contribution to health system
investments (Number)
Objective 2: Strengthen human resources for health management and development.
There are 10 key outputs under Objective 2 and 15 performance indicators of which 2 were not planned for assessment this FY. The MoH achieved 53.8% (7/13) of the
indicators, made some progress in 15.4% (2/13) and no progress in 30.8% (4/13).

TABLE 74: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 2 OF THE MOH STRATEGIC PLAN
Outputs Indicators Performance Targets Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
Intervention 2.1 Ensure adequate human resources for health at all levels, with special focus on specialized and super specialized HR
1. HRH Policy and Strategic Plan 1. HRH Policy and Strategic Plan in Strategic Plan Na NA N|A N|A Already in place
Developed place Developed
2. Medical Interns deployed 2. Medical interns deployed (Number) 1,400 1,795 1,929 1,000 1,974 There was a backlog from the FY2020/21 due to C-19
3. Salaries paid 3. Salaries paid on time (%) 100 100 100 100 100 All Pension and gratuity Payrolls processed and paid on
time
4. Pension & Gratuity paid 4. Pension and Gratuity paid (%) 100 100 100 100 97 Some pensioners were not verified
5. iHRIS functional 5. LGs with up-to-date iHRIS (%) 15 25 141 75 75 All districts have covered 100 & although only 75% are fully
functional on IHRIS
6. National Health workforce 6. National Health Workforce Accounts - - Draft report N|A N|A
inventory done undertaken
7. Schemes of service, standards 7. Health cadres with Up-to-date 50 50 100 100 100 Affected by change /review of structure for the health
of practice and job descriptions schemes of service and standards of sector. Total of 15 schemes of service reviewed and
developed for Allied Health practice and job descriptions approved. (Total schemes in sector comprise of 200
Professional cadres positions /cadres)
8. Multi-sectoral planning for training 8. MS Committee meetings attended 100 100 70 100 25 Under performance is due to shortage of staff within
of health workforce in appropriate (%) the department. Other pressing priorities by the MS
skills and numbers membership has limited the convening of meetings.

Membership includes MoES, MoFPED, HSC, MoPS MoLG,

OPM and MoH. Lack of resources to fund meetings and
agreed follow-up actions has hindered the sitting of these
meetings.
Intervention 2.2 Improve performance management, monitoring and reporting
9. Improved health worker 9. E-personnel performance Under 1 Concept in Roll out Biometric & MoH bio-Metrix attendance system at MOH, 2 NRHs, and
performance and attendance to management, monitoring and development place iHRIS rolled 16 RRHs.
duty reporting system developed (Design phase out
for scale up)
Intervention 2.3 Undertake continuous training and capacity building for health workers
10. Continuous Professional 10. Annual Training plans based on the 1 1 1 1 0
Development and training TNA
undertaken

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 101

Outputs Indicators Performance Targets Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
11. In-service training curriculum and 1 1 NA 1 3 Drafts 3 Guidelines are being developed:
materials in place • Staff professional development guidelines
• Content development guideline for Inservice training
Guidelines for implementing Health Labour Market Analysis
12. Staff on in-service training (Number) 622 400 5,960 20 130 100 staff under Inservice training curriculum development,
30 staff under training on e- learning platform content
13. Scholarships awarded (Number) 432 65 0 100 16 5 scholarships in emergency care,
1 Masters Neurosurgery, and 10 in Clinical Neonatology
14. Health Manpower Development 1 1 1 5 1 Only one HMDC, Mbale which plays a co-ordination role
Centre functional and Regional hubs for partner activities, but it is not functional as a centre
functional because there is no operational budget and lacks staffing.
Regional hubs established in Arua, Fort Portal and Moroto
with support from Enabel but they are not functional
15. Training database updated 1 1 1 1 1 E- learning platform being updated
Objective 3: Increase access to nationally coordinated services for communicable and non-communicable disease / conditions prevention and control.
There are 28 key outputs and 85 output performance indicators under objective 3, however 13 of the output indicators were not for assessment in year one, and there
was no source of data for 2 indicators leaving 70 indicators for assessment. The MoH achieved 56% (39/70) of the targets, made some remarkable progress in 10%
(7/70), no progress or decline 34% (24/70).

TABLE 75: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 3 OF THE MOH STRATEGIC PLAN
Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
Intervention 3.1 Revitalize public health inspection in collaboration with other MDAs to accelerate WASH (rural and urban) improvement.
1. Environmental Health Sanitation & 1. EHS&H Strategic Plan Draft Draft Draft 1 Draft To be finalized in FY 2024/25
Hygiene (EHS&H) Strategic Plan disseminated and implemented
developed
2. Functional Sanitation and Hygiene 2. Sanitation and Hygiene Working 9 11 5 4 6 150% achievement
Working Group Group meetings held (Number) (3 urban, 3-rural)
Intervention 3.2 Increase access to inclusive safe water, sanitation and hygiene (WASH) with emphasis on increasing coverage of improved toilet facilities and handwashing practices
3. Increased access to inclusive 3. LGs engaged on the KDS (%) 48 0 100 100 0 KDS proposed for review as it is outdated
sanitation and hygiene services in (since 1997)
rural areas
4. Sanitation week commemorated 1 1 1 1 1 Commemorated in Kakumiro (March 2024)
nationally presided over by the Rt. Hon Prime Minister

5. SCs holding annual sanitation No data 0 100 25 No data No established reporting system
week (%)
Intervention 3.3 Improved monitoring of hygiene and sanitation
4. Functional Hygiene & Sanitation 6. MIS for hygiene and sanitation Under development Not planned Still under MIS Not The MIS is still under development
MIS established development operational operational
Intervention 3.4 Strengthen the Community Health program
5. Intersectoral Community Health 7. Community Health Strategy Draft Draft Finalised and N|A N|A Approved and disseminated in FY 2022/23
Programs in place developed and disseminated launched
6. CHEWs operational 8. CHEW policy and strategy Piloting Piloting in Implementation Pilot on-going CHEWs training in Kazo, Kyotera,
approved and operationalized Mayuge and Namutumba & Maracha Districts.
Lira
7. Functional VHTs 9. Revised VHT guidelines provide Not planned Not planned 1 1 1 Revised VHT guidelines already in use
for youth inclusion with emphasis
on gender
10. Trained and tooled VHTs 14,177 250 1,270 10,000 5,329 A total of 28,302 VHTs were trained in 38
(Number) districts. 5,329 were provided with mobile
phones for eCHIS in Mayuge, Moyo,
Bukomansimbi, Namayingo, Gomba, Mpigi,
Kamuli and Ntungamo districts.

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 103

Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
Intervention 3.5 Intensify advocacy, communication and social mobilization for increased awareness and positive behaviour change for all health interventions
8. Integrated Health Education and 11. Integrated Health Communication 1 Strategy developed Already in N|A N|A Already in place
Promotion program in place Strategy developed and and implementation place
disseminated ongoing
9. IEC materials developed and 12. IEC materials developed / revised 10 504 2,345 10 2,453 Talking points and Frequently Asked
disseminated (Number) Questions for Non-Communicable Diseases,
posters in English, social media messages,
refugee languages such as Lingala and
French, and indigenous local languages;
street and pull up banners and T-shirts. All
these were printed and distributed to the
districts for the yellow fever preventive mass
vaccination campaign, WASH, Reproductive
Health, GHS, NCDs, Malaria, HIV/AIDS, TB &
Leprosy, NTDs, UNEPI among others.
10. Increased health literacy and 13. Community engagement / >48 84 >100 48 158 A total of 98 radio talk shows and 14 TV talk
utilization of health services mobilization activities through shows and six media breakfast meetings
various means (mass media, were conducted, conducted two Community
campaigns, social media, etc) dialogues for Trachoma awareness and
(Number) education in Nabilatuk and Moroto districts,
3 Community sensitizations activities
with film van trucks on NCDs, Malaria,
Immunization, WASH in Lwengo, Kimuli,
Rakai, and Masaka districts,
14 community engagement activities in
Mbale city and Mbale, Butaleja, Bulambuli,
Namutumba and Nakasongola districts to
create awareness and education about
Polio, TB, HIV/AIDs, Malaria among others.
etc
Intervention 3.6 Improve nutrition and food safety with emphasis on children aged under 5, school children, adolescents, pregnant and lactating women and vulnerable groups
11. Standards & guidelines for 14. Standards & guidelines for 1 NA – Guidelines in Draft 1 Draft Awaiting approval of the Employment Bill,
childcare facilities in place childcare facilities developed MIYCAN & Baby place 2022 to be finalized
Friendly Health
Initiative guidelines
reviewed
12. Breast Feeding/ baby care corners 15. Workplaces with breastfeeding 2 3 No data 20 3 Nakasero hospital, Nsambya hospital, Mbale
in health institutions established corners (%) RRH
13. Breast-feeding week 16. Annual BF week commemorated 1 1 1 1 1 Held in August, 2023
commemorated
Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
14. Code of marketing breast milk 17. Commercial outlets and health 20 0 0 40 0 No funding
substitutes adhered to facilities monitored conforming to
the code of marketing (%)
15. Nutritious meals provided at 18. Schools (primary and secondary) 10 0 0 25 68 Supported by GAIN International
schools visited and sensitized to ensure
provision of safe and fortified
foods to children (Number)
16. National food fortification policy 19. National food fortification policy 0 0 0 1 0 Not relevant, as it is catered for the National
and law developed and law in place Food and Fortification Policy under MAAIF
17. Hunger and malnutrition reduced 20. Regulations on sweetened RIA ongoing 1 Draft 1 Draft Waiting approval by STM
beverages and alcohol developed
In final stages
Intervention 3.7 Increase access to immunization against childhood diseases
18. Target population fully immunized 21. New vaccines introduced To be introduced in To be introduced in 3 Measles Introduced Continued with the roll out of MR2 since FY
(Number) 2022/23 2022/23 Rubella 2nd HepB birth 2021/22
dose dose and IPV2
22. Yellow Fever Vaccination Scheduled for Scheduled for 70.5 90% 75% This was a sub-national campaign in 53
Campaigns (%) 2022/23 2022/23 districts and achieved 75% coverage
23. Measles campaigns and SIAs Not planned for this Due 2022/23 98 95% 95% This was implemented sub-nationally as
conducted (%) year response campaigns
Intervention 3.8 Reduce the burden of communicable diseases with focus on high burden diseases (Malaria, HIV/AIDS, TB, NTDs, Hepatitis B, epidemic prone diseases and malnutrition across all age groups emphasizing
PHC approach
19. Reduced morbidity and mortality 24. Uganda Malaria Reduction and Draft Draft Draft Carried Draft Not finalized
due to malaria Elimination Strategic Plan 2020 - forward
25 finalized and disseminated
25. Mass LLIN campaigns held 1 Not planned for 1 1 1 27.8 million nets distributed throughout the
(Number) 27.4 million LLINs this year entire country. A total 10 million households
were distributed were reached with a household coverage of
covering 98% 91% (10,976,458 /12,040,171) achieved
(11,394,589)
households.
26. National Malaria days held with 1 1 2 1 1 The World Malaria Day was commemorated
mass IPT for malaria (Number) SMC conducted in in Kibuku district in April 2024
Kotido and Moroto

27. Health workers in the public 2,116 3,843 660 500 1,367 A total of 1,367 participants were trained,
and private sector trained in of these 647 (47%) were from the private
integrated management of sector. Participants trained were from 42
malaria (Number) districts from 9 regions (Ankole, Tororo,
Bunyoro, Central, Karamoja, Teso, Acholi,
Bukedi and Bugisu)

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 105

Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
20. Reduced morbidity and mortality 28. Develop HIV/AIDS 5-year Not planned Not planned Not Planned N|A NA Achieved earlier
due to HIV/AIDS Strategic plan

29. HIV prevention interventions 10 9 7 5 9 IEC materials developed for: Content

including IEC materials developed creation and sharing for HIV prevention,
(Number) Condom last-Mile distribution, Global
Alliance, Munnonye Campaign, AP3, CHECK
NOW HIV testing campaign, World AIDS day
Campaigns, Pre-exposure prophylaxis to
prevent HIV for Priority & Key populations,
IEC materials for PMTCT
30. Condoms procured and 345 million 192 million 141 million 415,000,000 123,593,368 The 30% under achievement was due over-
distributed (Number) estimated target and inconsistent funding
towards the last mile delivery of condoms to
community hotspot through the alternative
distribution mechanism implemented by the
Joint medical stores (JMS). Going forward
3% last mile distribution costs have been
institutionalized.
31. HIV test kits procured and 5.732 million 9.1 million 13 million 3,300,000 9,093,940 Under estimation of the target (300%)
distributed (Number)

32. High risk population receiving No data No data 98 90% 85% There was a decline of 13% from 98%
PrEP and PEP (%) the previous year due to stock outs of
commodities
33. Priority programs integrating HIV 100 100 100 100 100 HIV care and treatment is integrated with all
care and treatment (TB, Nutrition, programs
Family Planning, Cancer of the
cervix screening, Hepatitis B & C
screening, HPV Vaccination for
girls, Sexual and Reproductive
Health, SGBV) (%)
34. Service providers trained to 350 269 226 250 290 Global fund and PEPFAR availed to train
manage SGBV cases, deliver additional service providers
integrated youth-friendly HIV,
SRH services (Number)
21. Reduced morbidity and mortality 35. TB/L National Strategic Plan in 1 NA NA NA NA Mid-term review for the current NSP 2020/21
due to TB/Leprosy place Approved and – 2024/25 was concluded. Preparations for
disseminated Under the ETR and writing of the strategic plan
implementation 2025/26 – 2029-30 are ongoing.
Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
36. Advocacy and Community 6 14 14 12 23 Implemented 1) Integrated bi-annual
engagement activities on TB CAST plus campaign; 2) Implemented the
TB TUGIGOBE LIVE TB free campaign
targeting TB hotspots in 6 districts; 3)
Conducted Digital media TB awareness
and sensitization campaign over 10 million
people were reached with TB messages;
4) Conducted 20 school debates on TB
and leprosy; 8 University and community
TB and leprosy awareness and screening;
5) Conducted advocacy and awareness
meetings with Religious, Cultural leaders
& DEOs. 6) Printed and disseminated over
250,000 IEC materials
37. Facilities (HC IVs and IIIs) with 83 100 688 86% 100% Accredited and enrolled 47 Private health
diagnostics for TB (%) facilities giving a total of 1,980 with TB
diagnostics.
38. Health workers trained in TB 0 580 580 400 28,565 These were trained in HIV/TB consolidated
Preventive therapy for contacts guidelines including TPT with support from
(Number) implementing partners (USAID-LPHS-TB
Activity, MTI, TIFA, TASO)
39. MDR-TB initiating Hospitals 17 17 18 18 22 Ongoing decentralization of MDR-TB with
(Number) accreditation and activation of 2 RRHs
(Kayunga RRH & Yumbe RRH) & 2 Hospitals
(Tororo GH & Apac GH).
22. Reduced morbidity and mortality 40. NTDs mapped to determine 0 83 9 20 10 Out of the 19 endemic NTDs in Uganda,
due to NTDs in all affected endemicity (%) only 10 have been mapped across
districts in Uganda to a level endemic districts i.e. Schistosomiasis,
where they will no longer be of Soil transmitted helminths, Trachoma,
public health importance by 2025 Onchocerciasis, Lymphatic Filariasis,
Human African Trypanosomiasis, Visceral
Leishmaniasis, Podoconiosis, Guinea worm
disease and Tungaisis
41. Endemic districts (90) achieving 0 0 0 16 5 Only 5 districts were able to conduct MDA
elimination of schistosomiasis (%) for schistosomiasis due to limited funding.
There are efforts to integrate MDA into child
health days. These districts were Buliisa,
Ntoroko, Kikuube, Pakwachi and Maracha.
42. High transmission Districts 32 0 17 100 37 20 out of the planned 55 districts
implementing Indoor Residual implemented IRS. (Amolatar, Dokolo, Kalaki,
Spraying (IRS) (%) Kaberamaido, Arua district, Obongi, Moyo,
Adjumani, Koboko, Yumbe, Maracha, Terego,
Mdo-okolo, Budaka, Butebo, Butaleja,
Pallisa, Namutumba, Tororo and Bugiri).

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 107

Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
43. Local Governments undertaking 4 4 11 15 11 Mitooma, Otuke, Lira, Lira city, Kabale,
malaria Larval Source (Kisoro, Kabale, (Kisoro, Kabale, Kisoro, Rubanda, Alebtong, Pallisa, Kibuku,
Management (Number) Rubanda and Lira) Rubanda and Lira) Namutumba district
44. Case management centres active 43 11 14 43 10 Currently, there are 10 Case Management
for HAT (sleeping sickness) Centers for HAT. 4 West Nile, 2 Lango, 2
diagnosis in endemic districts Busoga, 2 Teso 2. There was a reduction in
(Number) the number of diagnostic centers (27) and
treatment centers (15) from the baseline
following the elimination of HAT gambiense
form as a public health problem in 2022 and
thus the scale down to 10 treatment centers
that conduct surveillance. Only one case of
HAT gambiense was managed in FY2023/24
Intervention 3.9 Prevent and control NCDs
23. Reduced NCDs 45. Multi-sectoral NCD Strategic plan Draft Draft not yet 1 0
developed approved
46. NCD days commemorated (Sickle 5 6 6 3 3 World Diabetes Day commemorated in Kumi
cell, Mental health, diabetes) district
(Number)
47. Media campaigns (monthly) 12 0 3 12 13 Through partners, and talking a multi-sector
(Number) approach several Radio and TV talk shows
were conducted to raise awareness on
NCDs. An estimated 26,750 people were
sensitized, educated on the benefit of
physical activities during the National day
for physical activity.
48. Trainers trained in cervical 32 30 30 0 190 40 DHTS, 150 (Nurses and Midwives)
cancer screening using HPV DNA
testing and Pap smears (Number)
49. Health workers trained to risk 2,022 0 72 200 No data
screen for major NCDs like other
cancers, CVDs, DM (Number)
50. Legislation developed to ban use Not planned this Not planned this 0 1 0
of transfats in the food-chain year year
51. Salt consumption monitored Not planned this To be undertaken Awaiting 1 1 98.8% households with iodised salt (UDHS
through survey e.g UDHS, STEPS year as part of the UDHS 2022)
UDHS 2022 findings
52. National Physical exercise day 0 0 1 1 1 Commemorated July 2024
in place
C-19 restrictions
53. Public workplaces with physical 0 105 105 190 No data
exercise initiatives (Number)
Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
Intervention 3.10 Strengthen an emergency medical service and referral system
24. Nationally coordinated ambulance 54. National Emergency Medical Cabinet memo 1 Not Planned N|A N|A
service and referral system in Services Policy and Strategic submitted Approved by
place Plan in place. Cabinet and
launched on 18th
November 2021
55. Regional Ambulance Hubs 2 2 2 2 0 4 regional hubs are under construction
established (Number) (Arua, Mbarara, Mbale and Lira) with
support from UCREEP and Enabel
56. Ambulances procured (Number) 116 12 62 50 111 UCREEP (44), Government of Japan (25), GF
(37) and other partners (5).

Of these 10 are type C (advanced life

support), 97 type B (basic care support), 4
medical command vehicles
57. EMS cadre trained (in-service) 460 4,438 3,654 400 442 Trainings were supported by GOU
(Number)
58. Referral guidelines disseminated Finalized Na Not planned N|A N|A Not planned for this FY
59. RRHs with functional ICUs & 14 16 16 18 16 Naguru and Kiruddu elevated to national
HDUs (Number) referral hospitals
Intervention 3.11 Improve maternal, neonatal and child health services at all levels of care
25. Reduced maternal, neonatal and 60. Costed RMNCAH roadmap 2020 - Draft 1 Not planned N|A N|A Sharpened Plan and Investment Case II
child mortality 25 disseminated 2022/23–2026/27 developed, and a national
dissemination done in Oct, 2023.

Regional roll-out planned for Q1 (FY

2024/2025) with a comprehensive package
including MPDSR report, EmONC
assessment report, ANC communication
plan, etc.
61. RMNCAH Parliamentary Forum 0 1 1 4 4 There has been a 30% increase in
Advocacy meetings for increased reproductive health commodities funding
financing for RMNCAH (Number) (from 24 billion to 34 billion).
62. Primary Health workers trained in 150 600 600 300 315 Worked through the RRHs for this
New-born Care (Number) performance (81 neonatal nurses from RRHs,
234 in essential newborn care from lower
levels).

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 109

Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
63. MCH Guidelines, SOPs/manuals 3 3 7 2 4 Developed and validated the Local
developed Maternity and Neonatal System strategy
(1); Emergency Triage, Assessment, and
Treatment guidelines (1); Clinical protocols
for the management of sick and small
newborns (1); and Basic Emergency
Obstetric and Newborn Care training manual
(1)
64. Districts implementing Integrated 59 53 82 88 60 81 districts fully implementing iCCM
Community Case Management strategy (67 supported by Global fund, 14 by
(iCCM) strategy (%) Presidential Malaria Initiative).
Intervention 3.12 Improve adolescent health services
26. Reduced teenage pregnancies 65. Health workers re-oriented in 343 700 700 400 660 Received additional resources from UNFPA.
Adolescent and youth friendly Revamped the training approach, shifting
Health services (Number) from classrooms to on-site facility sessions.

Other trainings were supported by Plan

International and UNICEF
66. Adolescent Health Policy Draft Draft Draft N|A N|A Adolescent health policy issues merged
developed and disseminated Stakeholder into the national health policy. To develop
consultations still Adolescent Health Implementation
ongoing Guidelines
Intervention 3.13 Increase access to Sexual and Reproductive health Services with special focus on Family Planning and age-appropriate information
27. Improved Sexual and 67. FP Implementation Plan Draft 1 Not planned N|A N|A Achieved in 2021/22
Reproductive Health developed
68. SRH&R Strategic Plan Draft Dissemination Not planned 1 0 Not yet finalized
disseminated
69. Health workers trained in FP 240 500 652 300 252 Critical cadre from 3 health regions (Teso,
counselling and provision Bukedi and Busoga) were mentored.
(Number)
Other partner trainings were not
documented hence under reporting
70. Obstetric fistula camps organized 22 12 12 2 24 Conducted a total of 1,525 fistula repairs
(Number) with support from AMREF, UNFPA and
Terrewodde hospital (Mbarara RRH, Hoima
RRH, Mbale RRH, Kitovu Hospital, Lacor
Hospital, Arua RRH, Koboko Hospital, Moyo
Hospital, Nebbi Hospital, Yumbe RRH, Kagadi
Hospital, Jinja RRH, Kamuli mission hospital
and Warr HCIV).
71. Districts with District Male 0 30 30 100 25 This is not a well conceptualized initiative at
Engagement Plans (%) local government level
Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
Intervention 3.14 Improve the National Health Laboratory Services
28. Increased access to quality 72. National Laboratory Services 1 1 Done NA NA Achieved in FY 2022/23
laboratory services Strategic Plan developed
73. Standards, guidelines, manuals 6 2 2 3 0 No new guidelines developed
and SOPs developed and
disseminated (Number)
74. Test Menu reviewed and 1 0 0 NA NA This is scheduled for the FY 2024/25
disseminated Version 2020 To be reviewed
and updated in the
FY22/23
75. Updated Lab supplies List 1 To be reviewed 0 NA NA This is scheduled for the FY 2024/25
and updated in the
Version 2020 FY22/23
76. Annual quantification done 1 1 1 1 1
77. National database of all Not planned Scheduled for 0 1 0 This activity was not implemented due to
laboratories in the country implementation in lack of funding.
showing capacities, location and FY 2022 / 2023.
affiliation.
78. Lab PPP strategies established 0 Scheduled for 2 5 0
(Number) implementation in
FY 2022 / 2023.
79. Laboratory infrastructure 4 No data 13 8 2 Fort Portal and Lira Laboratories
improved (Number) Bundibugyo, construction are >70% completed with
Kayunga, Kawolo support from World Bank
&Yumbe
80. Hubs equipped (Biosafety 4 No data 89 35 100 All 100 lab hubs were equipped with cold
Cabinets, waste treatment Bundibugyo, storage facilities, the credo boxes, which
autoclaves, cold storage Kayunga, Kawolo supports sample movement between the
facilities, etc) (Number) &Yumbe peripheral facilities (on bikes) to the hubs.
Centrifuges and Fridges were distributed in
44 health facilities.
81. ToT for laboratory SPARS done 1 1 1 1 1 ToTs for Lab SPARS was implemented in the
fy22/23. In 2023/24 the ToTs performed Lab
SPARS mentorship and assessment in 418
health facilities.
82. Annual refresher training on 1 Scheduled for 0 30 22 8 laboratories did not meet the minimum
use of Laboratory Web based implementation in requirements for fast-tracking Lab
ordering system (Number) FY 2022 / 2023. accreditation or certification

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 111

Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
83. Laboratories mentored on ISO 10 23 25 4 4 The Lab SPARS assessment was performed
implementation (Number) in 418 health facilities across the 4 quarters
of the reporting period. As a result of the
mentorship, the health facilities assessment
scores have increased by 2 points (13
to 15), indicated improved health facility
management in the Laboratory Information
Management Systems (LIMS), Equipment,
Ordering, Receipt and Recording, and
storage management practices for improved
laboratory services.
84. Mentorships visits to facilities 2 4 4 4 4 The Lab SPARS assessment was performed
implementing for laboratory in 418 health facilities across the 4 quarters
SPARS (quarterly) (Number) of the reporting period. As a result of the
mentorship, the health facilities assessment
scores have increased by 2 points (13
to 15), indicated improved health facility
management in the Laboratory Information
Management Systems (LIMS), Equipment,
Ordering, Receipt and Recording, and
storage management practices for improved
laboratory services.
85. Regional DQAs for national and 1 0 0 1 1 DQA were conducted in 7/17 health regions.
sub national databases and Results indicate 43% of the indicators to be
information systems (Number) in the acceptable Error to Data ratio, 13% to
be in the unacceptable error rate, and 45%
of the assessed indicator to be in the highly
unacceptable error to data range.
Objective 4: Strengthen disease surveillance, epidemic control and disaster preparedness and response at national and sub-national.
There are 5 key outputs and 15 performance indicators under objective 4. The MoH achieved 60% (9/15), made some remarkable progress in 20% (3/15), and little
progress or no achievement for 20% (3/15) of the performance indicators for the year.

TABLE 76: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 4 OF THE MOH STRATEGIC PLAN
Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24

Intervention 4.1 Develop national capacity for integrated disease surveillance and management of national and global health risks.

1. Epidemic diseases timely 1. IES&PHE Strategic Plan developed Draft Draft Draft 1 Draft Draft Presented to SMC and HPAC, awaiting
detected and controlled presentation to Top management

2. Revised IDSR Guidelines Version 3 Tot for National trainers 41 120 36 39 39 districts covered in 4 Health Regions of 39
rolled out (Number) conducted districts trained in IDSR 3rd edition Include;
Kigezi: Kabale, Kanungu, Kisoro, Rubanda, Rukiga,
Rukungiri,
Ankole: Buwheju, Sheema, Mbarara District,
Mbarara city, Rubirizi, Bushenyi, Mitooma,
Isingiro, Rwampara, Kazo, Ntungamo and Ibanda,
Masaka: Bukomasimbi, Butambala, Gomba,
Kalungu, Kyotera, Lwengo, Lyantonde, Masaka
city, Masaka district, Mpigi, Rakai, Sembabule
Acholi: Gulu District, Gulu City, Amuru, Kitgum,
Omoro, Pader, Agago, Lamwo and Butebo
3. Districts using revised IDSR Guidelines 0 41 120 36 39 39 districts trained in IDSR 3rd edition and now
Version 3 to detect early and report using the revised guidelines;
Public Health threats within 24 Hours Kigezi: Kabale, Kanungu, Kisoro, Rubanda, Rukiga,
(Number) Rukungiri,
Ankole: Buhweju, Sheema, Mbarara District,
Mbarara city, Rubirizi, Bushenyi, Mitooma,
Isingiro, Rwampara, Kazo, Ntungamo and Ibanda,
Masaka, Bukomasimbi, Butambala, Gomba,
Kalungu, Kyotera, Lwengo, Lyantonde, Masaka
city, Masaka district, Mpigi, Rakai, Sembabule
Acholi: Gulu District, Gulu City, Amuru, Kitgum,
Omoro, Pader, Agago, Lamwo and Butebo
4. Integrated sentinel surveillance sites Not planned 23 8 10 GHs & 10 20 (7 RRHs, Arua RRH, Jinja RRH, Fort Portal RRH, Mbarara
established (Number) HC Ivs 3 GHs, 10 RRH, Hoima RRH, Mubende RRH, Mbale RRH,
HCIVs) Bukuku HC IV, Kataraka HC IV, Amber Hospital,
True Vine Hospital, Ruharo Mission Hosp,
Namatara HC IV, Bufumbo HC IV, Adumi HC
IV, Kuluva Hospital, Budondo HC IV, Al-Shafa
Hospital, Walukuba HC IV

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 113

Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24

5. Districts supported in early reporting 135 109 118 32 11 e-IDSR rolledout and Mentorships happened in 11
of priority diseases (Number) districts of Mukono, Iganga, Kaliro, Namayingo,
Bugweri, Luuka, Kamuli and Buyende, Mbale and
Rukungiri.

The challenge of not achieving the target is lack

of funds to implement as planned.
6. LGs trained to prepare and respond to 135 25 64 30 67 67 districts covered; CBS guidelines disseminated
PHEs (Number) to 8 districts of Nakaseke, Mityana, Luwero,
Kayunga, Nakasongola, Namayingo, Nebbi and
Kyotera District, 20 Districts of Mubende and
Busoga regions for EBS, 39 districts for IDSR.
7. LGs affected by major PHEs supported 135 15 25 15 30 Responded and contained outbreaks in 30 districts
(Number) i.e;

Cholera outbreaks in 5 districts of Kayunga,

Namayingo, Adjumani, Mbale City and Kyotera

Investigation of yellow fever threat in 4 districts of

Bundibugyo, Kabale, Kasese and Masaka

Anthrax in 6 districts of Ibanda Bukedea, Kazo,

Amudat, Kween and Kyotera

Rabies in 2 districts of Katakwi and Busia,

RVF in 7 Kakumiro, Kazo, Kiruhura, Nakaseke,

Kole, Sheema and Rubanda Districts

Acute Watery

Diarrhea Outbreak at Namirembe landing site in

Masaka District,

Black water fever in Bukomansimbi,

Red eyes outbreak in Mayuge district,

CCHF in Kyankwanzi district

Response to Mudslide and floods 3 districts of

Kasese, Bunyangabu and Fort portal
Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24

2. Zoonotic diseases prevented, 8. DHT Trained (%) 4.4 20 10 30 8 Trained and Formulated OH teams in 12 Boarder
detected, responded and Districts of Arua, Koboko, Nebbi, Kasese,
controlled Kisoro, Tororo, Manafwa, Bukwo, Kyotera,
Amudat, Amuru and Lamwo. The challenge of
not achieving the target is insufficient funds to
implement in 21 districts as planned.
9. Ministries departments and agencies 75 75 19 80 85 MoH, MAAIF, MWE, UWA, TDDA, USAID, SBCC,
handling zoonotic diseases (%) AFROHUN, CSOs, BUILD UGANDA-ILIRI, MoIA,
DGAL, WHO, President’s Office, FAO, RESOLVE-
IDI, IDI-GHS, OPM

3. Functional National and District 10. Sectors and disciplines participating in 42 50 19 80 85 MoH, MAAIF, MWE, UWA, TDDA, USAID, SBCC,
One Health teams in place. One Health issues (%) AFROHUN, CSOs, BUILD UGANDA-ILIRI, MoIA,
DGAL, WHO, President’s Office, FAO, RESOLVE-
IDI, IDI-GHS, OPM
11. Planning meetings held (Number) 20 20 4 50 5 These meetings include the stakeholders’
routine quarterly meetings. The challenge of not
achieving the target is over-rapping activities as
teams were engaged in PHE response activities.
12. Strategies developed at the national 3 8 8 5 2 Second national cholera plan (2023-2030)
and district level (Number) One Health Strategy, One
Health Communication Rabies preparedness plan for Busia
Strategy, Draft National Draft National Action Plan for Health Security
Strategy for coordinated (NAPHS)
surveillance of zoonotic
diseases
Intervention 4.2 Strengthen the disaster and Public Health Emergency coordination mechanisms at regional to inform disaster response
4. Functional coordination 13. Global and regional protocols agreed 2 1 3 2 3 IGAD cross border surveillance, EAC treaty, One
mechanisms at regional level and signed by the governments, Stop Boarder Post (OSBP) Act.
to inform pandemic /epidemic to respond to global pandemics
response (Number).
14. Regional and cross border meetings 4 2 11 4 6 Uganda -DRC on Re activation of surveillance
held (Number) cross border zone, Uganda -Kenya Management
of cholera, Uganda – South Sudan on plague,
Uganda - Rwanda on PopCAP, Uganda EAC
partner states on strengthen Surveillance,
Uganda-TZ-South Sudan-DRC-Rwanda for EVD
preparedness & Response.
5. Community-level awareness, 15. ToT and refreshers for capacity 135 146 146 146 146 8 Districts for CBS (community Based
preparedness and response building for community-level surveillance), 20 districts on EBS, 39 districts on
strengthened awareness, preparedness and IDSR, 64 districts for RRTs from 6 regions of; West
response (Number) Nile, Bugisu, Bunyoro, Toro, North Central and
Kigezi

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 115

Objective 5: Improve functionality and adequacy of health infrastructure and logistics.
There are 8 outputs and 25 performance indicators under objective 5. The MoH achieved 62.5% (15/24), made some remarkable progress in 20.8% (5/24), there was
minimal or no progress in 16.7% (4/24). One of the indicators were not planned for assessment this FY.

TABLE 77: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 5 OF THE MOH STRATEGIC PLAN
Outputs Indicators Performance Target Performance Remarks

2020/21 2021/22 2022/23 FY 2023/24

Intervention 5.1 Develop and upgrade health infrastructure
1. Planned expansion of 1. National Master Plan for Not planned 0 0 1 Draft Draft at 75% completion level.
health infrastructure establishment, expansion and
maintenance of public health
infrastructure developed
2. Construction, 2. Centres of excellence 1 Not planned 0 UHI & UCI On-going The financing agreement for construction of the new
rehabilitation / expansion established commissioned and UHI signed.
and equipping of health functional (Number) Works on-going at UCI
facilities
3. New Regional Referral Hospitals 2 Not planned 0 2 0 No funding
established (Number)
4. General Hospitals constructed 2 4 2 4 0 However, 3 HC IVs are being upgraded to community
or upgraded (Number) Hospitals, Kabwohe in Sheema, Mitooma in Mitooma,
Muko in Rubanda, at 30% average progress of
construction
5. General Hospitals rehabilitated 1 2 3 3 11 11 hospitals out of the planned twelve (12) received
(Number) some funds for rehabilitation. (Busolwe, Kambuga,
Kapchorwa, Kitgum, Kotido, Kaberamaido, Katakwi,
Busolwe, Amuria, Koboko and Luwero). The rest
were not worked on due to budget cut
6. HC IIIs constructed (Number) 2 12 56 (under 30 14 14 HC IIIs are being established in refuge hosting
construction) District under UCREPP and these are: Koro, Lyete,
Twajiji, Kikuruma, Kabazane, Ruhoko, Kyangwali,
Morobi, Luru, Idiwa, Uriama, Bolomoni, Igarama,
Luzira
7. HC IVs constructed / renovated 2 9 16 (under 10 11 Only 11 out of the 20 Planned HC IVs received
(Number) construction) funding for upgrade. (Nabiswere, Nambieso, Namalu,
Bugaya, Kumi, Ongicha, Bubungi, Merikiti, Magada, Rwebitakuli, Mateete,
Kazo, Apapai, Butebo, Kitagata and Pabbo)
Kityerera, Bukuya and
Kachumbala HC IVs
8. HC IIs upgraded to HC IIIs 64 37 44 0 Completion of the ongoing projects was carried out
(Number)
9. HC IIIs renovated (Number) 0 43 11 0 0 Not planned for this FY
Outputs Indicators Performance Target Performance Remarks

2020/21 2021/22 2022/23 FY 2023/24

10. MoH headquarters rehabilitated 1 1 1 1 1 Retooling was done at headquarters
and retooled.

3. Improved health care 11. High-capacity regional Not planned Procurement initiated 4 5 5 5 incinerators out of the planed target of 5, are under
waste management incinerators constructed, construction
equipped and operationalized Progress of construction:
(Number)
KCCA (75%), Lira RRH (95%), Gulu RRH (70%) and
Mbarara RRH (90%) and Fort portal RRH (45%)
against target high-capacity incinerators with
combustion capacity of 500Kg/Hr at max operating
temperature of 12000C
The sub regions that are left to be covered with the
high-capacity incinerators include Eastern Region.
Additionally small sized incinerators have been
installed in Jinja, Lira, Hoima, fort portal Mubende,
RRHs.
4. Increased availability of 12. Blood Banks constructed Not planned 1 3 4 3 Hoima and Arua Blood banks are substantially
safe blood (Number) complete in terms of construction and equipping-
(Soroti RBB) ready for commissioning
Soroti blood bank is at 90% completion in terms of
construction
13. Blood storage facilities (fridges) 42 15 0 20 4 Supported by Implementing partners
procured (Number)
5. Increased coverage 14. Public health sector staff 100 53 53 50 114 114 have been comprehensively renovated in
of health workers houses constructed (Number) Busolwe – 72 and Kawolo-42 under GoU funding
accommodation
A total of 976 staff housing units out of the planned
150, have been constructed since FY 2020-21 to FY
2022-23 through the projects of UgIFT, URMCHIP,
KIDP
UgIFT - (554 units),
URMCHIP - (242 units),
KIDP - (60 units)
GoU - (116 units) – Gombe, Cyanika, Vura, Entebbe,
Jinja, Malaba, Busia.
Enabel - (4 units)
These housing units were completed and
commissioned

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 117

Outputs Indicators Performance Target Performance Remarks

2020/21 2021/22 2022/23 FY 2023/24

Intervention 5.2 Improved capacity for operation and maintenance of medical equipment

6. Functional medical 15. Medical Equipment Policy Not planned 0 1 1 1 The National Medical Equipment Maintenance
equipment developed guidelines have been developed/reviewed and are at
the final stage of approval by the TMC
16. Medical Equipment list and Not planned Review ongoing at 80% 1 1 1 Constitutes part of the National Medical Equipment
specifications reviewed Maintenance guidelines that are due for approval by
the TMC
17. Medical equipment inventory 1 1 1 1 1 Maintained and updated using a computer
maintained and updated application/system (NOMAD)
The total number of equipment so far captured in
the system is 51,465 (representing an estimated 75%
of the total equipment). Of these 42,887 (83%) are
function
18. Fully equipped and adequately 12 30 80 55 90 13 Regional workshops and 1 national workshop –
funded equipment maintenance Wabigalo are functional. Mbarara, Kayunga, Yumbe,
workshops (%) Entebbe have no Workshop. There has been no
funding for establishment of new workshops which
require construction, equipment and human resource
19. Health workers trained in 25 200 200 200 722 Selected medical staff were trained on the use and
Medical Equipment Use handling of equipment on a quarterly basis across
(Number) the country by the Regional Workshop Engineers and
technicians
Intervention 5.3 Procure, distribute and maintain appropriate medical equipment at all levels of health service delivery.
7. Health facilities at all 20. Basic equipment available at No data 70 70 70 70 Under the UgIFT and URMCHIP projects all the
levels equipped with lower-level health facilities (%) upgraded and improved facilities (452 facilities), were
appropriate and modern provided with basic equipment. Additionally, Districts
medical and diagnostic are provided with a grant (formula based) for small
equipment. equipment acquisition and maintenance
21. HC IIIs equipped (Number) 0 50 232 56 65 Equipped under UgIFT
22. No. of HC IVs equipped Not planned 45 45 10 0 No funding
8. Functional MoH fleet 23. Vehicles procured (Number) 439 55 156 10 72 46 under UCREEP, 18 GF, 5 UgIFT, 1 KOFHI, 2(Others)
72 GAVI, 65 C-19
Donations, 20
URMCHIP, 282 C-19
Fund
24. No. of motorcycles procured 898 Not planned 325 Not 420 220 under UCREEP, 200 under UNICEF
planned
100 URMCHIP, 657
GAVI, 122 GFTAM,
19 C-19 Donations
Objective 6: Ensure availability of quality and safe medicines, vaccines and technologies.
There are 12 key outputs, and 13 performance indicators assessed under objective 6 and 1 indicator was not planned for assessment this year. The MoH achieved 45%
(5/11) of the indicators assessed), and there was minimal or no progress in 55% (6/11).

TABLE 78: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 6 OF THE MOH STRATEGIC PLAN
Outputs Indicators Performance Target Performance Remarks

2020/21 2021/22 2022/23 FY 2023/24

Intervention 6.1 Ensure proper forecasting and quantification of the national essential medicines and health supplies requirements
1. Medicines and health supplies availed 1. Health workers trained in Supply 269 2,763 1,120 200 2,144 These were mainly trained of MTCs and
Chain Management (Number) Pharmacovigilance plus causality assessments with
support from GF through NMS
2. Hospitals and HC IVs with No data No data 143 65 31 79/ 255 (74 Public Hospitals, 5 Private Hospitals).
functional Medicines & Therapeutic HCIVs are newly onboarded, and we shall not
Committees consider them functional.
2. Integrated supply chain management 3. Health commodities integrated in the 100 85 100 100 100 The Department is in the process of having the NTD
system national supply chain management & Nutrition commodities on the ordering platforms
system (%) of the warehouses
3. Operational framework in response to 4. National Medical Counter Measures Not Plan in place 1 NA NA Already achieved
public health emergency threats in place Supply Chain Plan developed planned

Intervention 6.2 Strengthen the pharmaceutical information management systems to enhance traceability and accountability of EMHS.
4. e-LMIS system scaled up to all health 5. Health facilities utilizing the e-LMIS 36 40 90 75 45 Facilities grappling with internet challenges, power
facilities (%) and computers.
(715 public (1,348/1,500)
facilities) Facilities are still transitioning to EMRS (eAFYA &
Clinic Master)
Intervention 6.3 Slow down and control the spread of resistant organisms
5. National Antimicrobial Consumption and 6. Antimicrobial Consumption and Use Not Not planned 0 1 1
Use surveillance plan developed surveillance plan developed planned
6. Surveillance of antimicrobials use in 7. Antimicrobial consumption and use 1 2 0 1 1 Generated on a quarterly basis
human health done surveillance reports (Number)
Intervention 6.4 Develop a reporting platform for monitoring implementation of ADR reporting and management at health facilities.

7. Community and consumers sensitized on 8. Community sensitization activities Not 0 0 10 13

appropriate medicine use, antimicrobial (Number) planned
stewardship and patient reporting of
suspected ADR.
Intervention 6.5 Promote local pharmaceutical manufacturing in Uganda.
8. Pharmaceutical Industrial Park 9. A PPP investment plan for production Not Concept note Presented to 1 0
established of medicines and health supplies in planned developed WG
place

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 119

Outputs Indicators Performance Target Performance Remarks

2020/21 2021/22 2022/23 FY 2023/24

Intervention 6.6 Strengthen pricing mechanism for health commodities
9. National Medicines Formulary including 10. National Medicines Formulary Not Draft in place 0 1 0
indicative prices disseminated including indicative prices finalized planned
Intervention 6.7 Integration of Traditional and Complementary Medicines in medical practice in Uganda.
10. Situational analysis of the Traditional 11. TCMs situation analysis undertaken Not Not planned 0 1 0 No funding, regulations for TCMs not yet developed
and Complementary Medicines (TCM) planned
conducted
11. National Formulary for TCM products 12. National Formulary for TCM products Not Not planned Not planned 1 0 Regulations for TCMPs not yet developed
developed in place planned
Intervention 6.8 Establish an efficient, safe and environmentally sustainable Healthcare Waste Management System.
12. Guidelines on HCWM revised and 13. Guidelines revised and disseminated. Consultant 1 Draft Pending since 2021/22
disseminated. engaged

Objective 7: Accelerate health research, innovation and technology development.

There are 8 key outputs and 8 performance indicators for objective 7. The sector achieved 12.5% (1/8), made some progress in 75% (6/8) and made no progress in
12.5% (1/8) of the planned outputs. The National Health, Research and Innovation Strategy and MoH Research agenda were not developed to guide the sector in
research.

TABLE 79: PROGRESS IN IMPLEMENTATION OF STRATEGIC OBJECTIVE 7 OF THE MOH STRATEGIC PLAN
Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
Intervention 7.1 Establish the national health innovation cluster
1. National Health, 1. National Health, 0 0 0 1 0 No funding. Still at concept note stage
Research and Innovation Research and Innovation
strategy developed and strategy developed and Concept note
disseminated disseminated developed but
no funding
Intervention 7.2 Develop a MoH research agenda
2. MoH research agenda 2. MoH research agenda 0 0 0 1 Draft Essential National Health Research Agenda draft being shared
developed annually with MoH Sector Working Groups.
Intervention 7.3 Evidence generation
3. Health Surveys undertaken 3. Health surveys 3 2 3 3 2 Preparing for UPHIA
conducted (Number)
Covid-19 SERO status NHA 2016/17 – Client satisfaction STEPS 2022,
surveys and National 2017/18, Client for Acholi sub UDHS 2022
Client Satisfaction Satisfaction region, HHFA, NHA
Survey Survey 2018/19 – 2019/20
Outputs Indicators Performance Target Performance Remarks
2020/21 2021/22 2022/23 FY 2023/24
Intervention 7.4 Conduct basic epidemiological, applied, interventional and operational research.
4. Research conducted and 4. Research / studies 53 10 >10 10 6 FEXINIDAZOLE in the treatment of Gambience Sleeping
published conducted (Number) Sickness in Lwala Hospital
Gene Therapy for HIV, haemophiliacs and Sickle Cell protocol
Bee Venom extract clinical trial
Schistosomiasis protocol study for Establishing a sinle sex
controlled human Schistosoma mansoni infection model for
controlling mansoni infection in Uganda.
Lenacapavir – new drug demonstrated 100% efficacy and
superiority to daily Truvada for PrEP |HIV prevention
Collaborative One-Health Research initiative on Epidemics
(COHRIE) project update
Others ongoing – mainly in HIV, Ebola, Malaria, Covid vaccines,
gene therapy, TB
About 600 ongoing research protocols and supported mostly by
the Global fund mechanism
Intervention 7.5 Establish a national health research knowledge translation platform and data base.
5. A National health research 5. National health research Not planned 0 0 1 1 https://research.uncst.go.ug/admin/update.
knowledge translation knowledge translation php?a=7f39f8317fbdb1988ef4c628eba02591
platform and data base platform and data base
developed in place
Intervention 7.6 Digitalization of the HIS
6. GIS coding of health 6. Health facilities coded 100 100 100 100 90 A number of new and private facilities not coded
facilities done (%)
7. National Health Information 7. NHIER operational TORs developed and 1 1 1 0.5 Client registry not yet functionalized due to challengers with
Exchange Registries consultancy services Unique Identifier, while the Product registry is under upgrade
(Client, Health Workers, procured
Health Facilities and Health
Product) developed
Intervention 7.7 Establish the national health innovation cluster
8. National health innovation 8. Health innovations and 0 0 0 5 2 National Health Innovation Cluster TORs drafted pending
cluster operationalized technologies developed approval to enable the establishment and operationalization of
and supported (Number) the NHIC
S+ 4IR Integrated platform that enables transmission of data in
areas with poor internet connectivity field tested.
Maternal and Perinatal Death Surveillance and Response
(MPDSR) Actions Tracker App scaled nationally

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 121

4.2 PROGRESS IN IMPLEMENTATION OF THE HEALTH SECTOR PROJECTS
No Project Title Start Date End Date Forecast Actual Progress / Remarks
Disbursement FY Disbursement FY
2023/24 2023/24
1. Rehabilitation of Busolwe Hospital 1/07/2017 30/06/2023 UGX 9.88 billion UGX 3.31 billion The works of Refurbishment and equipping of Busolwe General Hospital started in
October 2022 and its ongoing. Current percentage progress is 86%.

The key scope of works includes construction of new casualty block, refurbishment of
main theatre, OPD, wards, mortuary, store, kitchen, external works
2. Construction and equipping of the 2019/20 30/06/2020 USD 249.9 million 0 The Progress of work (construction) is at 35%. The training block and Hostel were
International Specialized Hospital in completed and handed over. The main Hospital building is at sub structure level
Uganda
3. Uganda Reproductive Maternal and Child 1/07/2017 30/06/2022 USD 0 0 The project completed and closed in December 2023. Project completion report was
Health Services Improvement Project written.
4. Uganda COVID-19 Response and 3/08/2021 31/12/2024 USD 195,500,000 USD 28,203,959 The Project has received a cumulative Disbursements of USD 133,356,023 as at
Emergency Preparedness Project million 30/06/2024. Cumulative Expenditure of USD 121,700,768 as at 30/06/2024. FY 2023/24 of
USD 86.64m budget included a restructuring package, but by closure of the year the
Bank had not approved the restructuring. The Bank approved a workplan of USD 40M
for FY 2023/24, USD 24.01M was spent in addition to USD 15m commitments arising from
Civil Works and Procurement of Medical Equipment.
5. Global Fund for AIDS, TB and Malaria 1/07/2010 31/12/2026 USD 492,500,298 Expenditure Major procurements are still ongoing so payment is not yet effected (e.g. oxygen plants,
(NFM 2, NFM3, GC7) UGX 26,619,294,595 incinerators, civil works, ambulances, IRS equipment and supplies etc
6. GAVI Vaccines and Health Systems 1/07/2017 30/06/2023 UGX 53,511,751 Expenditure Funds were reprogrammed to implement the Big Catch-up immunization intervention in
Strengthening Support UGX 44,769,751 October 2024
7. Construction of 138 Health Centre IIIs in 2020/21 2024/25 UGX 55.1 billion 0 Funding goes directly to LGs. However, 46 new HC IIIs have been constructed with 93
sub counties without any health facility remaining.
8. Italian Support to the Health Sector 2017/18 2022/23 UGX 0 UGX The scope of work is construction of 68 twin staff houses. 66 staff house so far
Development Plan Karamoja Staff completed. Project is at 95% left with Kalita HC III in Amudat and Lemusui HC III in
Housing Project - Phase I Nakapiripirit still under construction.
9. Italian Support to the Health Sector 2021/22 2024/25 Euros 5 million 0 New health centre IIIs and 29 other health facilities rehabilitated (staff houses,
Development Plan Karamoja maternity/general ward, OPD, fencing), 6 Ambulances procured, 18 motorcycles and 9
Infrastructure Development Project - Public Address systems
Phase II
10. Upgrade of ICUs in all RRHs, HDUs in all 2020/21 2024/25 7.5% 7.5% 14 out of 16 RRHs were equipped with ICU. Yumbe and Kayunga are yet to get ICU
RRHs and GHs (UGX 1.5/20 billion) (UGX 1.5/20 billion) equipment, ICU Blocks:
Only Five (5) RRH for now have standard ICU Blocks (Jinja, Arua, Mubende, Mbarara
and Gulu
Construction/remodeling for the standard ICU is going on in Mbale RRH ICU which is at
90%, and Masaka ICU remodeling is at 80% completion
Construction of new standard ICU under UCREEP Project has started for 3 RRHs (Hoima,
Kabale and Arua)
No Project Title Start Date End Date Forecast Actual Progress / Remarks
Disbursement FY Disbursement FY
2023/24 2023/24
11. Improvement of Radiology Services in 2020/21 2024/25 42.8% 0 14 out of 16 RRHs have been equipped with CT scanners. The two hospitals that lack the
RRH and General Hospitals (UGX 21.7 /50.7 CT scanners (Kayunga and Yumbe) are scheduled to get in this FY 2023-24
billion)
The CT scanners were commissioned and are functional.
12. Establishment of Electronic integrated 2020/21 2024/25 0 The Electronic integrated and patient management record system has been established
and patient management record system in all 5 NRHs, and 16 RRHs, 32 GHs, 5 HC IVs and 2 HC IIIs are utilising the Electronic
Medical Records system with funding from GF and Partners.
13. Functionalizing neonatal intensive care 2020/21 2024/25 0 All RRHs and 25 General hospitals have NICU rooms equipped with basic equipment
units (NICUs) in all RRHs and select GHs such as infant incubators, radiant warmer, phototherapy units and oxygen
concentrators. There is need to establish Level 1 NICUs at Referral hospitals and Level
II NICUs at General Hospitals.
14. Renovation and equipping of 15 General 2020/21 2024/25 UGX 687.6 billion UGX 6.36 billion Only Six (6) Hospitals out of the planned 15 hospitals have been partially rehabilitated
Hospitals (Abim, Apac, Atutur, Bugiri, since FY 2020/21 to FY 2022/23: Gombe, Kawolo, Kambuga, Buwenge and Kapchorwa.
Bundibugyo, Iganga, Gombe, Kagadi,
Kambuga, Kitagata, Kitgum, Kyenjojo, There has generally been inadequate funding to rehabilitate all the planned hospitals
Lyantonde, Pallisa and Masindi).
15. Establishing 12 regional Ambulance hubs 2020/21 2024/25 UGX 3 billion The two functional Regional Ambulance Hubs in Naguru and Masaka. Construction for 2
call centers is ongoing in Arua and Fort portal
16. Establishment of a National Medical 2020/21 2024/25 UGX 10 billion 0 All the National and RRHs have equipment maintenance workshops. A national
Equipment Maintenance Service / System equipment maintenance workshop is to be set up at MoH Equipment maintenance
workshop at Wabigalo. The workshops are not fully functional due to the inadequacy in
equipment, staff and skill sets.
17. Establish permanent Port Health Services 2020/21 2024/25 0 0 Permanent Port Health Services established at 11 Points of Entry i.e., Goli One Stop
at 24 Points of Entry (2 high volume, 11 Border Post (OSBP), Suam OSBP, Elegu OSBP, Mutukula OSBP, Busia OSBP, Malaba
medium and 11 low volume). OSBP, Katuna OSBP, Mirama Hills OSBP, Mpondwe OSBP, Transami OSBP, & Cyanika
OSBP. Other POEs are at Vurra at 95%.
18. Construction and equipping of Regional 2020/21 2022/23 UGX 4.5 billion 0 Soroti blood bank is at 80% completion in terms of construction
Blood Bank at Soroti

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 123

Annex
5.1 NATIONAL LEAGUE TABLE FY 2023/24

Local Government
Approved posts
in public health
facilities filled (%)
DPT 3 Coverage
TB Case
Notification
Rate/100,000
IPT3 Coverage (%)
NC 4 Coverage (%)
Health Facility
Deliveries (%)
Under-five Vitamin
A 2nd dose cov (%)
% of pregnant
women tested for
HIV during current
pregnancy
ART Viral Load
Suppression Rate
(%)
DPT1 to MR Drop
Out Rate (%)
Maternal deaths
reviewed (%)
Perinatal death
reviewed (%)
VHT/ICCM
quarterly reports
rate (%)
% of under 5
dewormed in the
last 6 months
LG PA
Score (%)
Average SPARS
Scores (%)
Total Score
Ranking

%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)

Lira City 85.0 4.3 123.5 5.0 433.9 5.0 96.7 9.7 99.0 5.0 98.8 9.9 122.2 5.0 107.0 5.0 86.4 8.6 1.1 9.6 175.0 5.0 100.0 5.0 100 5.0 118.8 5.0 36 1.8 39.4 2.0 90.76 1
Kiruhura 61.2 3.1 114.8 5.0 198.2 5.0 112.6 10.0 104.4 5.0 103.8 10.0 82.1 4.1 104.2 5.0 88.9 8.9 2.6 9.1 100.0 5.0 84.0 4.2 36.5 1.8 148.6 5.0 87 4.4 75.0 3.8 89.24 2
Soroti City 72.5 3.6 163.6 5.0 592.0 5.0 121.1 10.0 126.8 5.0 210.2 10.0 83.1 4.2 199.7 5.0 93.8 9.4 11.2 5.9 168.8 5.0 100.0 5.0 100 5.0 162.2 5.0 29 1.5 72.5 3.6 88.10 3
Rubanda 82.1 4.1 109.8 5.0 90.9 4.5 78.6 7.9 69.6 3.5 76.4 7.6 79.8 4.0 82.4 4.1 88.9 8.9 4.5 8.3 100.0 5.0 100.0 5.0 100 5.0 128.8 5.0 86 4.3 40.5 2.0 84.27 4
Fort Portal City 72.0 3.6 139.9 5.0 565.9 5.0 75.3 7.5 73.3 3.7 169.5 10.0 96.0 4.8 117.2 5.0 90.3 9.0 2.4 9.1 100.0 5.0 37.4 1.9 84.8 4.2 165.9 5.0 15 0.8 92.9 4.6 84.26 5
Kween 83.3 4.2 115.3 5.0 117.8 5.0 59.6 6.0 59.1 3.0 100.7 10.0 45.9 2.3 113.0 5.0 61.0 6.1 0.0 10.0 100.0 5.0 100.0 5.0 79.3 4.0 110.0 5.0 69 3.5 94.7 4.7 83.63 6
Budaka 72.3 3.6 123.9 5.0 137.5 5.0 68.5 6.8 62.7 3.1 103.7 10.0 51.8 2.6 106.5 5.0 80.0 8.0 6.4 7.6 100.0 5.0 69.7 3.5 100 5.0 79.8 5.0 59 3.0 88.9 4.4 82.70 7
Jinja City 96.6 4.8 84.2 4.2 729.4 5.0 72.0 7.2 100.6 5.0 99.0 9.9 32.8 1.6 108.9 5.0 86.8 8.7 15.2 4.4 100.0 5.0 61.2 3.1 100 5.0 108.4 5.0 65 3.3 94.1 4.7 81.83 8
Nebbi 77.5 3.9 76.0 3.8 214.2 5.0 42.6 4.3 64.6 3.2 92.0 9.2 34.6 1.7 88.8 4.4 87.8 8.8 -10.4 10.0 100.0 5.0 100.0 5.0 100 5.0 73.6 5.0 65 3.3 84.6 4.2 81.80 9
Mbarara City 95.9 4.8 106.4 5.0 447.8 5.0 87.6 8.8 84.7 4.2 140.4 10.0 39.5 2.0 114.2 5.0 93.1 9.3 16.1 4.0 100.0 5.0 73.1 3.7 77.8 3.9 79.7 5.0 81 4.1 41.9 2.1 81.80 10
Kwania 74.3 3.7 115.1 5.0 189.7 5.0 58.8 5.9 65.6 3.3 71.5 7.2 77.6 3.9 99.8 5.0 81.2 8.1 1.1 9.6 0.0 5.0 92.6 4.6 69.7 3.5 112.8 5.0 74 3.7 66.7 3.3 81.74 11
Kiboga 74.6 3.7 97.8 4.9 242.2 5.0 59.1 5.9 61.4 3.1 98.3 9.8 63.0 3.2 94.6 4.7 95.2 9.5 9.1 6.6 100.0 5.0 67.6 3.4 98.5 4.9 99.7 5.0 62 3.1 77.8 3.9 81.74 12
Kampala 100.0 5.0 85.3 4.3 374.4 5.0 43.0 4.3 67.7 3.4 93.6 9.4 40.0 2.0 96.2 4.8 89.8 9.0 5.1 8.1 99.5 5.0 65.0 3.2 56.1 2.8 70.7 5.0 71 3.6 53.6 2.7 81.54 13
Bundibugyo 86.0 4.3 157.4 5.0 254.7 5.0 61.4 6.1 59.1 3.0 72.9 7.3 99.0 4.9 97.2 4.9 83.0 8.3 -26.3 10.0 100.0 5.0 94.2 4.7 64.1 3.2 180.7 5.0 67 3.4 28.0 1.4 81.46 14
Kabale 67.7 3.4 97.2 4.9 215.6 5.0 69.6 7.0 71.7 3.6 87.5 8.7 86.9 4.3 80.7 4.0 90.7 9.1 10.1 6.2 100.0 5.0 100.0 5.0 92.9 4.6 127.5 5.0 76 3.8 33.3 1.7 81.34 15
Mbale 118.0 5.9 108.2 5.0 121.3 5.0 75.7 7.6 68.8 3.4 82.4 8.2 73.1 3.7 95.0 4.8 74.2 7.4 -8.2 10.0 100.0 5.0 94.9 4.7 6.6 0.3 134.2 5.0 58 2.9 35.3 1.8 80.71 16
Gulu City 83.2 4.2 95.3 4.8 423.5 5.0 52.2 5.2 74.6 3.7 134.2 10.0 47.6 2.4 104.1 5.0 80.1 8.0 1.2 9.6 100.0 5.0 72.8 3.6 100 5.0 69.7 5.0 61 3.1 22.2 1.1 80.64 17
Agago 58.3 2.9 111.5 5.0 119.6 5.0 55.0 5.5 60.9 3.0 74.0 7.4 60.4 3.0 106.6 5.0 70.4 7.0 -7.5 10.0 100.0 5.0 90.3 4.5 97.9 4.9 131.3 5.0 63 3.2 70.0 3.5 79.98 18
Rukiga 82.4 4.1 95.0 4.7 176.3 5.0 46.6 4.7 53.5 2.7 58.0 5.8 69.8 3.5 74.5 3.7 86.5 8.7 0.0 10.0 100.0 5.0 100.0 5.0 96.9 4.8 103.5 5.0 85 4.3 54.8 2.7 79.70 19
Manafwa 100.0 5.0 101.2 5.0 201.3 5.0 44.9 4.5 46.6 2.3 78.3 7.8 52.4 2.6 81.5 4.1 83.6 8.4 -9.7 10.0 100.0 5.0 61.1 3.1 98.1 4.9 96.6 5.0 65 3.3 75.0 3.8 79.66 20
Amolatar 88.3 4.4 134.7 5.0 108.8 5.0 71.9 7.2 75.9 3.8 83.6 8.4 81.8 4.1 101.7 5.0 81.3 8.1 23.3 1.4 100.0 5.0 111.9 5.0 100 5.0 146.6 5.0 51 2.6 90.5 4.5 79.42 21
Bushenyi 70.6 3.5 94.1 4.7 210.1 5.0 61.4 6.1 74.0 3.7 99.1 9.9 53.0 2.6 85.8 4.3 86.6 8.7 5.5 8.0 100.0 5.0 63.3 3.2 63.8 3.2 91.6 5.0 81 4.1 48.6 2.4 79.39 22
Katakwi 74.4 3.7 108.8 5.0 148.3 5.0 59.0 5.9 62.4 3.1 81.8 8.2 31.1 1.6 92.4 4.6 86.9 8.7 3.2 8.8 100.0 5.0 64.8 3.2 90.5 4.5 94.3 5.0 55 2.8 81.8 4.1 79.19 23
Pallisa 86.7 4.3 107.8 5.0 82.4 4.1 53.0 5.3 50.3 2.5 72.4 7.2 46.8 2.3 82.0 4.1 87.1 8.7 3.0 8.9 100.0 5.0 79.2 4.0 91.1 4.6 141.6 5.0 78 3.9 83.3 4.2 79.12 24
Sironko 87.8 4.4 118.3 5.0 118.1 5.0 54.2 5.4 56.5 2.8 83.8 8.4 59.4 3.0 98.2 4.9 80.3 8.0 4.0 8.5 100.0 5.0 97.2 4.9 92.7 4.6 99.5 5.0 50 2.5 33.3 1.7 79.11 25
Ibanda 50.3 2.5 93.7 4.7 189.8 5.0 61.4 6.1 55.9 2.8 67.7 6.8 92.5 4.6 69.0 3.5 85.6 8.6 8.5 6.9 100.0 5.0 95.4 4.8 83.3 4.2 113.3 5.0 94 4.7 81.1 4.1 79.09 26
Sheema 58.9 2.9 87.2 4.4 244.4 5.0 53.7 5.4 49.9 2.5 87.2 8.7 31.7 1.6 58.0 2.9 87.7 8.8 1.1 9.6 100.0 5.0 99.0 4.9 99.2 5.0 80.6 5.0 63 3.2 72.1 3.6 78.39 27
Oyam 73.9 3.7 95.8 4.8 225.2 5.0 69.6 7.0 68.0 3.4 75.7 7.6 43.8 2.2 90.4 4.5 83.3 8.3 10.0 6.3 100.0 5.0 91.5 4.6 85.3 4.3 90.8 5.0 53 2.7 68.8 3.4 77.69 28
Local Government
Approved posts
in public health
facilities filled (%)
DPT 3 Coverage
TB Case
Notification
Rate/100,000
IPT3 Coverage (%)
NC 4 Coverage (%)
Health Facility
Deliveries (%)
Under-five Vitamin
A 2nd dose cov (%)
% of pregnant
women tested for
HIV during current
pregnancy
ART Viral Load
Suppression Rate
(%)
DPT1 to MR Drop
Out Rate (%)
Maternal deaths
reviewed (%)
Perinatal death
reviewed (%)
VHT/ICCM
quarterly reports
rate (%)
% of under 5
dewormed in the
last 6 months
LG PA
Score (%)
Average SPARS
Scores (%)
Total Score
Ranking

%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)

Bududa 87.1 4.4 104.2 5.0 96.7 4.8 50.6 5.1 53.0 2.6 73.6 7.4 58.7 2.9 77.8 3.9 76.4 7.6 1.2 9.6 100.0 5.0 81.3 4.1 100 5.0 109.7 5.0 63 3.2 42.1 2.1 77.61 29
Luwero 90.9 4.5 114.0 5.0 225.0 5.0 47.4 4.7 55.4 2.8 85.7 8.6 44.5 2.2 90.9 4.5 91.7 9.2 7.5 7.2 100.0 5.0 49.7 2.5 97.7 4.9 94.3 5.0 65 3.3 64.0 3.2 77.60 30
Bukwo 57.5 2.9 95.6 4.8 114.4 5.0 45.0 4.5 44.2 2.2 65.8 6.6 109.7 5.0 83.9 4.2 67.0 6.7 -5.1 10.0 100.0 5.0 100.0 5.0 100 5.0 209.0 5.0 46 2.3 52.1 2.6 76.75 31
Apac 86.9 4.3 101.6 5.0 342.5 5.0 39.3 3.9 55.9 2.8 65.8 6.6 44.8 2.2 97.6 4.9 88.3 8.8 10.2 6.2 100.0 5.0 89.4 4.5 100 5.0 73.3 5.0 51 2.6 95.2 4.8 76.62 32
Abim 77.1 3.9 101.6 5.0 145.0 5.0 53.3 5.3 62.6 3.1 76.6 7.7 54.8 2.7 82.7 4.1 78.7 7.9 4.6 8.3 100.0 5.0 100.0 5.0 95.4 4.8 119.3 5.0 58 2.9 17.9 0.9 76.58 33
Kaberamaido 98.1 4.9 125.6 5.0 119.0 5.0 37.0 3.7 60.4 3.0 68.5 6.9 52.2 2.6 80.2 4.0 81.9 8.2 7.5 7.2 100.0 5.0 75.9 3.8 79.6 4.0 90.0 5.0 69 3.5 92.9 4.6 76.38 34
Kapchorwa 81.0 4.1 96.5 4.8 198.7 5.0 49.3 4.9 45.0 2.2 92.8 9.3 49.9 2.5 86.0 4.3 75.8 7.6 5.4 8.0 100.0 5.0 93.7 4.7 84.2 4.2 102.5 5.0 57 2.9 32.0 1.6 76.06 35
Arua City 88.7 4.4 99.9 5.0 300.0 5.0 53.8 5.4 48.1 2.4 82.3 8.2 38.7 1.9 89.2 4.5 84.7 8.5 -16.4 10.0 100.0 5.0 14.6 0.7 89.3 4.5 83.9 5.0 21 1.1 90.0 4.5 76.05 36
Rukungiri 63.7 3.2 90.8 4.5 230.4 5.0 59.4 5.9 62.1 3.1 86.6 8.7 38.7 1.9 72.5 3.6 92.1 9.2 -2.0 10.0 100.0 5.0 100.0 5.0 0 0.0 84.5 5.0 57 2.9 59.3 3.0 76.02 37
Busia 51.1 2.6 98.9 4.9 138.9 5.0 59.2 5.9 56.6 2.8 88.2 8.8 41.2 2.1 85.8 4.3 87.9 8.8 1.9 9.3 93.8 4.7 53.1 2.7 100 5.0 101.1 5.0 49 2.5 33.3 1.7 75.97 38
Koboko 56.2 2.8 86.1 4.3 145.4 5.0 60.3 6.0 60.3 3.0 65.8 6.6 45.2 2.3 79.0 3.9 83.0 8.3 -5.2 10.0 100.0 5.0 73.4 3.7 100 5.0 384.1 5.0 41 2.1 60.0 3.0 75.96 39
Mbale City 85.7 4.3 92.4 4.6 328.6 5.0 66.9 6.7 62.0 3.1 104.4 10.0 28.8 1.4 100.7 5.0 84.8 8.5 10.7 6.0 87.3 4.4 69.7 3.5 100 5.0 75.9 5.0 37 1.9 31.6 1.6 75.95 40
Amuru 98.1 4.9 102.9 5.0 126.5 5.0 49.7 5.0 55.5 2.8 59.5 5.9 28.5 1.4 106.3 5.0 75.6 7.6 14.8 4.5 100.0 5.0 106.2 5.0 100 5.0 70.4 5.0 80 4.0 95.2 4.8 75.86 41
Kotido 49.0 2.5 97.0 4.8 329.5 5.0 60.4 6.0 57.5 2.9 69.8 7.0 60.0 3.0 81.6 4.1 81.2 8.1 2.2 9.2 175.0 5.0 77.2 3.9 82 4.1 140.8 5.0 48 2.4 53.8 2.7 75.62 42
Namayingo 50.6 2.5 117.5 5.0 126.9 5.0 59.6 6.0 51.3 2.6 57.4 5.7 40.3 2.0 110.4 5.0 82.0 8.2 11.4 5.8 100.0 5.0 78.0 3.9 100 5.0 80.4 5.0 93 4.7 84.2 4.2 75.53 43
Otuke 76.3 3.8 93.8 4.7 348.6 5.0 51.2 5.1 53.0 2.6 53.6 5.4 85.9 4.3 91.0 4.5 81.0 8.1 4.0 8.5 100.0 5.0 88.5 4.4 100 5.0 156.9 5.0 24 1.2 50.0 2.5 75.24 44
Dokolo 85.5 4.3 86.7 4.3 103.5 5.0 71.6 7.2 65.9 3.3 65.8 6.6 45.4 2.3 88.1 4.4 76.8 7.7 13.5 5.0 100.0 5.0 81.8 4.1 100 5.0 99.9 5.0 33 1.7 87.5 4.4 75.12 45
Bunyangabu 86.4 4.3 102.1 5.0 224.0 5.0 52.1 5.2 49.0 2.5 81.2 8.1 58.9 2.9 82.8 4.1 84.1 8.4 -5.7 10.0 100.0 5.0 59.3 3.0 78.9 3.9 112.8 5.0 45 2.3 6.1 0.3 75.07 46
Iganga 83.6 4.2 104.5 5.0 229.2 5.0 48.3 4.8 59.1 3.0 91.1 9.1 29.3 1.5 105.0 5.0 87.1 8.7 15.0 4.5 95.2 4.8 97.5 4.9 61 3.1 80.0 5.0 71 3.6 61.5 3.1 75.02 47
Nabilatuk 55.4 2.8 100.0 5.0 302.4 5.0 75.1 7.5 83.0 4.1 63.5 6.3 94.0 4.7 96.6 4.8 61.8 6.2 -0.4 10.0 100.0 5.0 100.0 5.0 0 0.0 113.8 5.0 33 1.7 35.5 1.8 74.91 48
Kole 86.8 4.3 101.8 5.0 128.6 5.0 49.9 5.0 49.3 2.5 57.0 5.7 26.6 1.3 77.4 3.9 80.7 8.1 2.7 9.0 100.0 5.0 70.0 3.5 100 5.0 83.5 5.0 39 2.0 92.3 4.6 74.85 49
Maracha 73.0 3.7 81.2 4.1 164.9 5.0 50.5 5.0 54.2 2.7 60.1 6.0 45.3 2.3 86.1 4.3 73.3 7.3 5.2 8.1 100.0 5.0 91.1 4.6 90.3 4.5 64.5 5.0 57 2.9 88.9 4.4 74.80 50
Pader 59.2 3.0 103.2 5.0 142.7 5.0 47.7 4.8 55.7 2.8 60.8 6.1 37.8 1.9 100.8 5.0 83.0 8.3 0.1 9.9 100.0 5.0 93.9 4.7 100 5.0 80.9 5.0 28 1.4 38.9 1.9 74.77 51
Kanungu 76.7 3.8 93.0 4.6 152.7 5.0 46.6 4.7 52.3 2.6 64.9 6.5 51.5 2.6 69.6 3.5 89.3 8.9 6.5 7.6 87.5 4.4 100.6 5.0 100 5.0 92.9 5.0 61 3.1 50.0 2.5 74.74 52
Zombo 81.0 4.1 92.3 4.6 194.1 5.0 43.2 4.3 53.4 2.7 62.2 6.2 51.5 2.6 87.1 4.4 88.0 8.8 0.5 9.8 100.0 5.0 79.3 4.0 73 3.7 122.7 5.0 30 1.5 64.0 3.2 74.72 53
Kitagwenda 87.3 4.4 105.9 5.0 151.7 5.0 36.1 3.6 44.9 2.2 59.1 5.9 84.3 4.2 88.0 4.4 81.4 8.1 1.4 9.5 100.0 5.0 38.1 1.9 93.8 4.7 174.2 5.0 31 1.6 83.3 4.2 74.67 54
Masaka 142.0 7.1 97.5 4.9 171.6 5.0 55.5 5.6 54.2 2.7 40.8 4.1 50.9 2.5 70.1 3.5 86.4 8.6 2.7 9.0 100.0 5.0 100.0 5.0 0 0.0 114.4 5.0 59 3.0 73.3 3.7 74.63 55
Kibaale 96.8 4.8 89.3 4.5 177.2 5.0 41.4 4.1 41.1 2.1 53.0 5.3 87.8 4.4 87.2 4.4 90.8 9.1 10.6 6.1 100.0 5.0 49.6 2.5 100 5.0 106.3 5.0 63 3.2 83.3 4.2 74.51 56
Mitooma 61.9 3.1 107.2 5.0 186.0 5.0 56.5 5.7 57.9 2.9 73.0 7.3 38.3 1.9 67.5 3.4 82.3 8.2 10.5 6.1 100.0 5.0 64.0 3.2 100 5.0 81.5 5.0 74 3.7 77.8 3.9 74.35 57
Hoima City 60.3 3.0 102.2 5.0 507.0 5.0 61.2 6.1 53.0 2.7 142.8 10.0 27.1 1.4 101.1 5.0 84.0 8.4 0.7 9.7 94.8 4.7 21.0 1.0 73.1 3.7 95.7 5.0 16 0.8 51.9 2.6 74.11 58
Lyantonde 89.0 4.5 92.1 4.6 292.6 5.0 60.9 6.1 51.4 2.6 77.5 7.7 48.4 2.4 91.1 4.6 94.8 9.5 19.4 2.8 100.0 5.0 86.8 4.3 100 5.0 133.0 5.0 44 2.2 56.7 2.8 74.11 59
Kyotera 80.2 4.0 97.6 4.9 214.3 5.0 54.1 5.4 46.3 2.3 77.2 7.7 49.4 2.5 63.9 3.2 87.8 8.8 8.4 6.9 100.0 5.0 41.8 2.1 100 5.0 116.6 5.0 35 1.8 89.5 4.5 73.98 60
Amuria 55.2 2.8 113.6 5.0 100.2 5.0 63.2 6.3 50.8 2.5 81.9 8.2 36.4 1.8 101.2 5.0 80.9 8.1 -2.2 10.0 100.0 5.0 29.4 1.5 33.3 1.7 85.5 5.0 55 2.8 61.5 3.1 73.68 61
Kasese 39.8 2.0 97.8 4.9 129.6 5.0 46.0 4.6 53.6 2.7 73.4 7.3 31.4 1.6 72.1 3.6 86.7 8.7 -11.9 10.0 100.0 5.0 46.3 2.3 100 5.0 85.1 5.0 60 3.0 57.9 2.9 73.56 62

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 125

Local Government
Approved posts
in public health
facilities filled (%)
DPT 3 Coverage
TB Case
Notification
Rate/100,000
IPT3 Coverage (%)
NC 4 Coverage (%)
Health Facility
Deliveries (%)
Under-five Vitamin
A 2nd dose cov (%)
% of pregnant
women tested for
HIV during current
pregnancy
ART Viral Load
Suppression Rate
(%)
DPT1 to MR Drop
Out Rate (%)
Maternal deaths
reviewed (%)
Perinatal death
reviewed (%)
VHT/ICCM
quarterly reports
rate (%)
% of under 5
dewormed in the
last 6 months
LG PA
Score (%)
Average SPARS
Scores (%)
Total Score
Ranking

%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)

Butambala 65.5 3.3 100.3 5.0 317.4 5.0 49.3 4.9 39.6 2.0 136.6 10.0 75.0 3.7 82.1 4.1 92.3 9.2 8.5 6.9 75.0 3.8 9.9 0.5 100 5.0 149.5 5.0 69 3.5 33.3 1.7 73.49 63
Kiryandongo 67.8 3.4 80.7 4.0 154.3 5.0 38.9 3.9 42.3 2.1 54.2 5.4 78.4 3.9 78.4 3.9 84.7 8.5 5.6 7.9 100.0 5.0 55.8 2.8 100 5.0 113.7 5.0 51 2.6 100.0 5.0 73.41 64
Kyenjojo 91.0 4.6 82.5 4.1 214.2 5.0 50.0 5.0 41.0 2.1 63.0 6.3 43.4 2.2 76.9 3.8 85.3 8.5 0.6 9.8 44.4 2.2 35.3 1.8 100 5.0 90.8 5.0 65 3.3 91.7 4.6 73.18 65
Adjumani 90.5 4.5 72.6 3.6 122.5 5.0 44.1 4.4 44.9 2.2 54.1 5.4 70.2 3.5 57.7 2.9 84.5 8.5 5.9 7.8 100.0 5.0 55.7 2.8 100 5.0 101.1 5.0 69 3.5 81.0 4.0 73.17 66
Namisindwa 66.0 3.3 153.9 5.0 136.3 5.0 47.3 4.7 55.0 2.8 96.3 9.6 33.8 1.7 97.8 4.9 83.4 8.3 -8.4 10.0 100.0 5.0 23.4 1.2 93.8 4.7 113.3 5.0 29 1.5 4.5 0.2 72.87 67
Kisoro 83.1 4.2 78.5 3.9 82.8 4.1 45.0 4.5 39.4 2.0 65.0 6.5 54.8 2.7 75.4 3.8 85.9 8.6 -6.9 10.0 100.0 5.0 96.8 4.8 44.4 2.2 100.8 5.0 68 3.4 41.5 2.1 72.83 68
Rubirizi 55.7 2.8 94.7 4.7 202.0 5.0 63.7 6.4 82.7 4.1 51.4 5.1 37.0 1.8 66.5 3.3 79.2 7.9 9.3 6.6 100.0 5.0 100.0 5.0 99.2 5.0 68.7 5.0 63 3.2 37.5 1.9 72.80 69
Moyo 95.3 4.8 62.5 3.1 171.0 5.0 42.6 4.3 42.7 2.1 63.0 6.3 56.9 2.8 54.1 2.7 91.8 9.2 0.2 9.9 100.0 5.0 58.3 2.9 100 5.0 76.1 5.0 46 2.3 46.3 2.3 72.76 70
Napak 59.7 3.0 105.5 5.0 392.9 5.0 57.0 5.7 60.9 3.0 75.0 7.5 107.4 5.0 91.2 4.6 78.5 7.9 7.6 7.2 100.0 5.0 80.6 4.0 3.1 0.2 181.4 5.0 47 2.4 48.0 2.4 72.75 71
Kumi 60.9 3.0 94.4 4.7 87.2 4.4 52.3 5.2 50.9 2.5 70.4 7.0 27.6 1.4 79.9 4.0 76.7 7.7 -2.1 10.0 100.0 5.0 66.0 3.3 98.2 4.9 73.7 5.0 80 4.0 7.0 0.3 72.54 72
Kazo 63.8 3.2 89.2 4.5 118.6 5.0 48.9 4.9 45.6 2.3 44.7 4.5 50.2 2.5 52.6 2.6 74.3 7.4 -1.2 10.0 100.0 5.0 52.0 2.6 100 5.0 77.3 5.0 71 3.6 86.7 4.3 72.35 73
Kalungu 72.8 3.6 88.0 4.4 230.4 5.0 36.2 3.6 48.1 2.4 97.5 9.7 70.7 3.5 78.3 3.9 90.9 9.1 15.0 4.4 100.0 5.0 7.9 0.4 100 5.0 93.1 5.0 51 2.6 90.5 4.5 72.25 74
Kaliro 94.1 4.7 102.8 5.0 138.4 5.0 34.9 3.5 40.0 2.0 46.8 4.7 54.8 2.7 82.0 4.1 79.5 8.0 7.4 7.3 100.0 5.0 66.2 3.3 95.3 4.8 82.6 5.0 79 4.0 63.6 3.2 72.14 75
Kassanda 79.3 4.0 101.4 5.0 226.9 5.0 27.5 2.8 54.5 2.7 69.9 7.0 40.9 2.0 80.7 4.0 93.8 9.4 -27.5 10.0 50.0 2.5 8.2 0.4 90 4.5 76.2 5.0 65 3.3 90.3 4.5 72.06 76
Kamwenge 56.3 2.8 78.4 3.9 125.7 5.0 46.9 4.7 51.5 2.6 61.0 6.1 62.9 3.1 72.4 3.6 85.1 8.5 -21.8 10.0 57.1 2.9 32.0 1.6 100 5.0 73.8 5.0 77 3.9 60.0 3.0 71.67 77
Alebtong 59.0 3.0 96.9 4.8 168.3 5.0 47.2 4.7 57.1 2.9 57.1 5.7 50.0 2.5 80.3 4.0 75.9 7.6 3.1 8.8 100.0 5.0 84.2 4.2 92 4.6 100.1 5.0 32 1.6 35.0 1.8 71.19 78
Lamwo 77.9 3.9 67.8 3.4 111.6 5.0 46.6 4.7 56.0 2.8 54.9 5.5 39.1 2.0 75.3 3.8 84.2 8.4 5.4 8.0 100.0 5.0 85.1 4.3 100 5.0 67.7 5.0 22 1.1 68.4 3.4 71.15 79
Buikwe 75.4 3.8 85.7 4.3 179.1 5.0 58.2 5.8 50.7 2.5 62.3 6.2 37.5 1.9 82.7 4.1 90.4 9.0 9.7 6.4 85.7 4.3 45.1 2.3 71.9 3.6 69.0 5.0 67 3.4 68.4 3.4 71.01 80
Bugweri 66.4 3.3 91.7 4.6 104.1 5.0 38.5 3.8 48.9 2.4 59.2 5.9 54.8 2.7 80.7 4.0 80.9 8.1 13.8 4.9 100.0 5.0 101.7 5.0 88.2 4.4 49.4 5.0 54 2.7 78.9 3.9 70.93 81
Omoro 72.8 3.6 97.4 4.9 148.8 5.0 53.1 5.3 56.4 2.8 58.2 5.8 36.8 1.8 87.3 4.4 80.1 8.0 6.0 7.8 100.0 5.0 73.0 3.7 100 5.0 100.9 5.0 31 1.6 25.0 1.3 70.89 82
Kitgum 85.6 4.3 80.3 4.0 267.9 5.0 50.8 5.1 56.0 2.8 76.5 7.6 22.4 1.1 85.3 4.3 84.3 8.4 13.1 5.2 100.0 5.0 100.0 5.0 56 2.8 78.0 5.0 35 1.8 70.8 3.5 70.89 83
Kibuku 83.0 4.2 83.8 4.2 81.2 4.1 45.3 4.5 52.1 2.6 65.6 6.6 20.8 1.0 89.2 4.5 87.1 8.7 10.7 6.0 100.0 5.0 85.0 4.3 62.9 3.1 83.3 5.0 75 3.8 64.9 3.2 70.74 84
Tororo 67.5 3.4 81.0 4.0 190.1 5.0 59.2 5.9 48.5 2.4 71.4 7.1 38.7 1.9 83.8 4.2 87.5 8.7 12.0 5.6 100.0 5.0 75.3 3.8 62.7 3.1 85.1 5.0 48 2.4 60.0 3.0 70.64 85
Kaabong 53.2 2.7 93.2 4.7 386.2 5.0 53.5 5.3 53.8 2.7 78.5 7.9 87.5 4.4 81.3 4.1 63.7 6.4 11.1 5.9 100.0 5.0 91.5 4.6 11.2 0.6 120.7 5.0 44 2.2 82.4 4.1 70.36 86
Ngora 69.7 3.5 108.0 5.0 71.2 3.6 55.8 5.6 44.4 2.2 69.2 6.9 127.0 5.0 79.4 4.0 82.5 8.2 14.7 4.6 100.0 5.0 41.8 2.1 73.6 3.7 106.7 5.0 56 2.8 63.2 3.2 70.28 87
Buhweju 67.9 3.4 90.2 4.5 176.5 5.0 47.8 4.8 42.1 2.1 43.2 4.3 57.0 2.9 60.3 3.0 83.3 8.3 2.7 9.0 100.0 5.0 100.0 5.0 66.1 3.3 80.0 5.0 24 1.2 66.7 3.3 70.13 88
Ntungamo 65.2 3.3 78.8 3.9 153.9 5.0 43.5 4.3 41.0 2.1 65.6 6.6 39.4 2.0 62.6 3.1 84.8 8.5 4.9 8.2 100.0 5.0 49.4 2.5 92.1 4.6 55.9 5.0 47 2.4 75.0 3.8 70.10 89
Pakwach 58.9 2.9 94.3 4.7 190.9 5.0 33.7 3.4 55.2 2.8 62.6 6.3 53.1 2.7 85.5 4.3 79.8 8.0 6.8 7.5 100.0 5.0 63.8 3.2 65.2 3.3 125.3 5.0 49 2.5 74.1 3.7 70.04 90
Kyankwanzi 88.7 4.4 76.1 3.8 157.5 5.0 35.0 3.5 34.6 1.7 40.8 4.1 43.6 2.2 72.5 3.6 92.0 9.2 2.2 9.2 100.0 5.0 39.0 1.9 100 5.0 89.4 5.0 67 3.4 59.1 3.0 70.01 91
Luuka 63.0 3.2 97.0 4.8 135.3 5.0 41.8 4.2 40.5 2.0 40.6 4.1 50.5 2.5 74.3 3.7 82.1 8.2 6.8 7.5 100.0 5.0 54.7 2.7 100 5.0 106.0 5.0 63 3.2 77.8 3.9 69.98 92
Lira 68.0 3.4 110.7 5.0 186.0 5.0 46.5 4.7 44.2 2.2 46.2 4.6 92.0 4.6 71.5 3.6 78.1 7.8 14.0 4.8 100.0 5.0 94.9 4.7 100 5.0 187.4 5.0 49 2.5 41.2 2.1 69.93 93
Gulu 81.0 4.1 88.2 4.4 122.0 5.0 41.7 4.2 45.4 2.3 49.4 4.9 21.7 1.1 74.1 3.7 76.2 7.6 -1.3 10.0 100.0 5.0 103.8 5.0 65 3.3 62.7 5.0 49 2.5 38.9 1.9 69.89 94
Amudat 45.9 2.3 94.1 4.7 213.3 5.0 49.1 4.9 38.0 1.9 47.9 4.8 115.4 5.0 90.2 4.5 73.1 7.3 6.4 7.6 100.0 5.0 56.9 2.8 100 5.0 132.4 5.0 25 1.3 53.1 2.7 69.82 95
Karenga 80.6 4.0 84.1 4.2 272.2 5.0 46.4 4.6 43.7 2.2 67.5 6.7 57.0 2.8 67.0 3.3 53.0 5.3 0.0 10.0 100.0 5.0 56.8 2.8 51.7 2.6 146.7 5.0 53 2.7 67.2 3.4 69.73 96
Kayunga 82.1 4.1 92.2 4.6 127.4 5.0 54.0 5.4 44.7 2.2 70.5 7.1 44.9 2.2 91.4 4.6 88.3 8.8 19.6 2.8 100.0 5.0 64.7 3.2 74.3 3.7 87.9 5.0 87 4.4 23.1 1.2 69.25 97
Local Government
Approved posts
in public health
facilities filled (%)
DPT 3 Coverage
TB Case
Notification
Rate/100,000
IPT3 Coverage (%)
NC 4 Coverage (%)
Health Facility
Deliveries (%)
Under-five Vitamin
A 2nd dose cov (%)
% of pregnant
women tested for
HIV during current
pregnancy
ART Viral Load
Suppression Rate
(%)
DPT1 to MR Drop
Out Rate (%)
Maternal deaths
reviewed (%)
Perinatal death
reviewed (%)
VHT/ICCM
quarterly reports
rate (%)
% of under 5
dewormed in the
last 6 months
LG PA
Score (%)
Average SPARS
Scores (%)
Total Score
Ranking

%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)

Terego 70.9 3.5 92.9 4.6 186.3 5.0 46.8 4.7 48.6 2.4 52.3 5.2 50.4 2.5 73.7 3.7 77.5 7.7 2.8 9.0 100.0 5.0 28.7 1.4 100 5.0 113.6 5.0 27 1.4 58.1 2.9 69.13 98
Kamuli 90.6 4.5 107.6 5.0 127.8 5.0 40.0 4.0 49.9 2.5 65.7 6.6 34.2 1.7 90.6 4.5 81.6 8.2 9.0 6.7 95.2 4.8 75.7 3.8 43.6 2.2 74.7 5.0 75 3.8 19.2 1.0 69.12 99
Bugiri 59.6 3.0 95.5 4.8 80.9 4.0 50.1 5.0 40.5 2.0 52.6 5.3 52.4 2.6 82.0 4.1 90.5 9.0 11.2 5.8 100.0 5.0 68.8 3.4 28.1 1.4 64.7 5.0 84 4.2 85.7 4.3 69.04 100
Bulambuli 64.9 3.2 98.4 4.9 171.6 5.0 39.0 3.9 40.6 2.0 59.5 6.0 51.9 2.6 62.1 3.1 78.6 7.9 4.3 8.4 100.0 5.0 80.4 4.0 100 5.0 97.7 5.0 40 2.0 18.2 0.9 68.93 101
Serere 66.5 3.3 85.7 4.3 110.0 5.0 38.7 3.9 37.2 1.9 63.4 6.3 31.2 1.6 82.4 4.1 79.1 7.9 9.4 6.5 100.0 5.0 64.1 3.2 100 5.0 79.5 5.0 48 2.4 70.4 3.5 68.92 102
Mityana 74.8 3.7 87.5 4.4 275.1 5.0 43.8 4.4 48.8 2.4 73.5 7.3 54.0 2.7 78.4 3.9 95.1 9.5 9.5 6.5 127.3 5.0 67.2 3.4 23.2 1.2 85.5 5.0 73 3.7 15.8 0.8 68.84 103
Kagadi 70.7 3.5 111.1 5.0 222.5 5.0 27.5 2.7 43.5 2.2 58.8 5.9 42.4 2.1 86.2 4.3 89.6 9.0 13.4 5.1 100.0 5.0 41.4 2.1 100 5.0 96.7 5.0 46 2.3 93.3 4.7 68.81 104
Kabarole 98.1 4.9 75.5 3.8 111.3 5.0 39.5 3.9 38.6 1.9 38.3 3.8 59.8 3.0 64.6 3.2 85.6 8.6 12.4 5.4 100.0 5.0 73.9 3.7 100 5.0 110.0 5.0 63 3.2 67.7 3.4 68.81 105
Mayuge 80.2 4.0 91.8 4.6 92.5 4.6 45.0 4.5 41.2 2.1 45.1 4.5 37.1 1.9 84.6 4.2 79.5 7.9 13.4 5.0 85.7 4.3 93.4 4.7 100 5.0 58.5 5.0 86 4.3 43.8 2.2 68.80 106
Mubende 90.7 4.5 95.4 4.8 145.7 5.0 43.0 4.3 47.3 2.4 54.8 5.5 57.9 2.9 74.4 3.7 94.3 9.4 8.7 6.8 92.9 4.6 9.5 0.5 96 4.8 89.5 5.0 62 3.1 25.0 1.3 68.54 107
Gomba 62.9 3.1 89.5 4.5 181.4 5.0 47.1 4.7 45.6 2.3 48.0 4.8 66.2 3.3 82.6 4.1 87.8 8.8 10.6 6.1 100.0 5.0 0.0 0.0 83.6 4.2 83.3 5.0 61 3.1 86.4 4.3 68.26 108
Jinja 91.0 4.6 74.0 3.7 113.8 5.0 49.6 5.0 49.2 2.5 55.3 5.5 48.5 2.4 80.7 4.0 85.4 8.5 18.0 3.3 50.0 2.5 61.9 3.1 99.5 5.0 104.8 5.0 66 3.3 95.5 4.8 68.19 109
Mpigi 76.4 3.8 85.2 4.3 240.7 5.0 54.7 5.5 51.5 2.6 68.0 6.8 30.9 1.5 84.3 4.2 92.7 9.3 15.1 4.4 100.0 5.0 18.6 0.9 98.3 4.9 60.8 5.0 48 2.4 42.9 2.1 67.76 110
Nakaseke 86.2 4.3 113.9 5.0 196.9 5.0 48.1 4.8 43.8 2.2 70.6 7.1 25.4 1.3 82.6 4.1 95.2 9.5 18.8 3.0 50.0 2.5 19.3 1.0 100 5.0 62.1 5.0 76 3.8 77.3 3.9 67.45 111
Bukedea 77.2 3.9 89.6 4.5 60.3 3.0 40.7 4.1 44.5 2.2 59.3 5.9 30.2 1.5 87.6 4.4 81.9 8.2 0.9 9.7 100.0 5.0 3.7 0.2 100 5.0 66.5 5.0 43 2.2 52.8 2.6 67.32 112
Masaka City 64.5 3.2 100.2 5.0 320.8 5.0 36.3 3.6 56.2 2.8 109.3 10.0 19.3 1.0 81.7 4.1 90.8 9.1 8.0 7.0 89.7 4.5 11.3 0.6 90.6 4.5 53.7 5.0 24 1.2 12.7 0.6 67.24 113
Yumbe 62.1 3.1 105.9 5.0 105.0 5.0 41.3 4.1 38.9 1.9 52.9 5.3 91.5 4.6 56.5 2.8 81.0 8.1 6.1 7.7 90.0 4.5 46.6 2.3 69.1 3.5 136.3 5.0 51 2.6 29.2 1.5 66.99 114
Mukono 59.6 3.0 94.6 4.7 216.5 5.0 54.1 5.4 49.3 2.5 69.1 6.9 26.3 1.3 90.5 4.5 88.9 8.9 8.0 7.0 76.5 3.8 33.8 1.7 79.2 4.0 73.4 5.0 52 2.6 6.7 0.3 66.68 115
Ntoroko 90.2 4.5 72.9 3.6 237.9 5.0 63.9 6.4 53.1 2.7 64.2 6.4 37.0 1.8 95.7 4.8 83.0 8.3 15.3 4.3 100.0 5.0 85.0 4.3 0 0.0 54.3 5.0 32 1.6 58.3 2.9 66.64 116
Kakumiro 44.7 2.2 72.5 3.6 150.9 5.0 43.5 4.4 35.3 1.8 50.6 5.1 40.3 2.0 67.4 3.4 90.2 9.0 -7.9 10.0 100.0 5.0 45.7 2.3 76.2 3.8 64.7 5.0 51 2.6 14.3 0.7 65.79 117
Namutumba 55.4 2.8 90.8 4.5 86.8 4.3 34.9 3.5 34.2 1.7 43.4 4.3 75.7 3.8 75.4 3.8 83.3 8.3 13.3 5.1 100.0 5.0 100.0 5.0 9.8 0.5 86.2 5.0 76 3.8 78.9 3.9 65.37 118
Mbarara 59.0 3.0 74.3 3.7 183.5 5.0 44.9 4.5 38.7 1.9 43.8 4.4 39.1 2.0 46.1 2.3 94.8 9.5 12.4 5.4 100.0 5.0 96.9 4.8 91.7 4.6 63.7 5.0 79 4.0 3.8 0.2 65.19 119
Nakasongola 89.8 4.5 76.7 3.8 158.1 5.0 45.5 4.5 44.3 2.2 62.6 6.3 27.4 1.4 74.8 3.7 82.8 8.3 12.0 5.5 0.0 5.0 2.4 0.1 95 4.8 62.2 5.0 46 2.3 48.1 2.4 64.85 120
Rwampara 65.3 3.3 96.4 4.8 363.8 5.0 38.6 3.9 39.7 2.0 38.3 3.8 33.8 1.7 55.1 2.8 92.0 9.2 5.1 8.1 100.0 5.0 71.4 3.6 47.5 2.4 75.8 5.0 60 3.0 22.7 1.1 64.62 121
Hoima 59.0 3.0 76.5 3.8 246.9 5.0 48.0 4.8 48.5 2.4 43.0 4.3 45.5 2.3 85.6 4.3 89.0 8.9 17.3 3.6 100.0 5.0 35.0 1.8 100 5.0 69.5 5.0 45 2.3 63.6 3.2 64.51 122
Kalaki 80.2 4.0 70.3 3.5 132.6 5.0 51.1 5.1 43.1 2.2 52.6 5.3 49.2 2.5 70.4 3.5 87.6 8.8 21.3 2.1 0.0 5.0 92.8 4.6 0 0.0 62.8 5.0 63 3.2 88.2 4.4 64.12 123
Butebo 97.9 4.9 86.3 4.3 205.3 5.0 50.3 5.0 48.2 2.4 69.0 6.9 20.4 1.0 106.0 5.0 85.1 8.5 18.8 3.0 100.0 5.0 31.0 1.6 19.8 1.0 47.8 5.0 37 1.9 72.2 3.6 64.11 124
Buyende 64.9 3.2 123.4 5.0 101.2 5.0 44.2 4.4 57.2 2.9 62.7 6.3 44.3 2.2 92.0 4.6 80.4 8.0 17.8 3.4 100.0 5.0 60.3 3.0 23.7 1.2 86.3 5.0 62 3.1 35.0 1.8 64.10 125
Obongi 86.8 4.3 63.5 3.2 129.8 5.0 37.4 3.7 39.4 2.0 39.8 4.0 50.7 2.5 49.5 2.5 94.1 9.4 -36.1 10.0 100.0 5.0 9.1 0.5 1.7 0.1 68.7 5.0 52 2.6 83.3 4.2 63.93 126
Kalangala 74.5 3.7 76.9 3.8 578.5 5.0 47.7 4.8 40.0 2.0 38.0 3.8 41.1 2.1 69.3 3.5 83.5 8.4 9.1 6.6 100.0 5.0 2.9 0.1 90.8 4.5 61.1 5.0 25 1.3 75.0 3.8 63.33 127
Kyegegwa 65.7 3.3 77.9 3.9 120.9 5.0 31.3 3.1 41.7 2.1 55.1 5.5 40.9 2.0 74.6 3.7 82.3 8.2 5.7 7.9 100.0 5.0 16.0 0.8 17.9 0.9 66.4 5.0 45 2.3 90.9 4.5 63.29 128
Kapelebyong 59.7 3.0 101.7 5.0 236.4 5.0 46.3 4.6 45.3 2.3 62.5 6.3 19.7 1.0 101.1 5.0 77.3 7.7 16.6 3.9 100.0 5.0 12.5 0.6 38.8 1.9 45.7 5.0 49 2.5 88.9 4.4 63.18 129
Buvuma 76.7 3.8 75.6 3.8 339.2 5.0 28.0 2.8 22.6 1.1 37.5 3.8 17.0 0.9 57.3 2.9 84.4 8.4 19.1 2.9 100.0 5.0 95.2 4.8 100 5.0 38.7 5.0 51 2.6 100.0 5.0 62.70 130
Nakapiripirit 66.7 3.3 77.6 3.9 324.7 5.0 41.0 4.1 36.1 1.8 50.7 5.1 33.2 1.7 75.8 3.8 67.6 6.8 17.2 3.6 100.0 5.0 65.6 3.3 93.2 4.7 97.7 5.0 49 2.5 57.1 2.9 62.28 131

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 127

Local Government
Approved posts
in public health
facilities filled (%)
DPT 3 Coverage
TB Case
Notification
Rate/100,000
IPT3 Coverage (%)
NC 4 Coverage (%)
Health Facility
Deliveries (%)
Under-five Vitamin
A 2nd dose cov (%)
% of pregnant
women tested for
HIV during current
pregnancy
ART Viral Load
Suppression Rate
(%)
DPT1 to MR Drop
Out Rate (%)
Maternal deaths
reviewed (%)
Perinatal death
reviewed (%)
VHT/ICCM
quarterly reports
rate (%)
% of under 5
dewormed in the
last 6 months
LG PA
Score (%)
Average SPARS
Scores (%)
Total Score
Ranking

%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)
%
Score (5)

Arua 103.0 5.2 72.5 3.6 111.6 5.0 47.4 4.7 43.4 2.2 47.1 4.7 23.7 1.2 79.3 4.0 78.2 7.8 18.7 3.1 100.0 5.0 54.8 2.7 85.3 4.3 59.4 5.0 37 1.9 32.1 1.6 61.91 132
Buliisa 58.0 2.9 72.8 3.6 148.3 5.0 12.6 1.3 46.5 2.3 48.7 4.9 34.4 1.7 85.7 4.3 87.2 8.7 18.8 3.0 100.0 5.0 85.1 4.3 100 5.0 89.4 5.0 39 2.0 56.5 2.8 61.80 133
Masindi 79.6 4.0 71.5 3.6 258.1 5.0 41.1 4.1 51.1 2.6 60.0 6.0 59.4 3.0 84.4 4.2 89.5 8.9 19.1 2.9 200.0 5.0 52.8 2.6 0 0.0 76.4 5.0 35 1.8 61.4 3.1 61.76 134
Isingiro 60.9 3.0 64.8 3.2 114.1 5.0 34.3 3.4 37.1 1.9 47.3 4.7 46.2 2.3 55.3 2.8 84.5 8.4 11.6 5.7 80.0 4.0 67.9 3.4 62.2 3.1 87.9 5.0 94 4.7 16.2 0.8 61.54 135
Kikuube 57.0 2.9 69.4 3.5 213.4 5.0 36.0 3.6 39.2 2.0 49.7 5.0 34.2 1.7 70.9 3.5 85.3 8.5 5.2 8.1 100.0 5.0 27.8 1.4 72.6 3.6 63.8 5.0 27 1.4 15.8 0.8 60.88 136
Moroto 58.0 2.9 88.2 4.4 658.0 5.0 36.5 3.6 44.2 2.2 55.0 5.5 84.8 4.2 82.9 4.1 84.2 8.4 18.1 3.3 100.0 5.0 86.1 4.3 9 0.5 103.8 5.0 26 1.3 20.0 1.0 60.80 137
Nwoya 74.1 3.7 73.9 3.7 80.5 4.0 37.2 3.7 43.2 2.2 42.5 4.2 31.5 1.6 61.5 3.1 85.4 8.5 14.7 4.6 100.0 5.0 100.0 5.0 1.9 0.1 74.1 5.0 41 2.1 83.3 4.2 60.62 138
Wakiso 65.7 3.3 81.4 4.1 113.7 5.0 23.4 2.3 25.8 1.3 34.3 3.4 23.0 1.2 48.8 2.4 86.1 8.6 0.0 10.0 60.9 3.0 37.4 1.9 76.6 3.8 99.2 5.0 73 3.7 31.4 1.6 60.57 139
Soroti 72.0 3.6 65.7 3.3 27.8 1.4 35.4 3.5 31.2 1.6 40.2 4.0 33.8 1.7 56.1 2.8 85.4 8.5 7.7 7.1 100.0 5.0 54.3 2.7 85.7 4.3 65.7 5.0 59 3.0 57.1 2.9 60.38 140
Sembabule 48.0 2.4 83.1 4.2 154.7 5.0 19.2 1.9 36.3 1.8 42.0 4.2 60.9 3.0 70.5 3.5 88.3 8.8 19.7 2.7 175.0 5.0 54.2 2.7 60.3 3.0 90.5 5.0 55 2.8 84.6 4.2 60.30 141
Butaleja 60.9 3.0 79.1 4.0 70.4 3.5 61.8 6.2 55.0 2.7 67.9 6.8 20.4 1.0 85.3 4.3 85.1 8.5 13.6 5.0 100.0 5.0 54.7 2.7 0.53 0.0 68.2 5.0 16 0.8 28.8 1.4 60.00 142
Bukomansimbi 84.4 4.2 96.0 4.8 181.8 5.0 45.0 4.5 40.8 2.0 52.0 5.2 34.1 1.7 69.9 3.5 86.3 8.6 27.0 0.0 100.0 5.0 0.0 0.0 81.5 4.1 90.5 5.0 40 2.0 73.1 3.7 59.32 143
Rakai 89.6 4.5 67.6 3.4 137.5 5.0 43.5 4.3 34.9 1.7 50.6 5.1 28.5 1.4 54.8 2.7 88.6 8.9 16.2 4.0 50.0 2.5 25.2 1.3 94.6 4.7 73.9 5.0 47 2.4 37.5 1.9 58.76 144
Lwengo 69.0 3.5 84.2 4.2 182.7 5.0 42.9 4.3 36.3 1.8 53.7 5.4 32.9 1.6 62.3 3.1 87.6 8.8 15.8 4.1 16.7 0.8 0.0 0.0 75 3.8 70.3 5.0 57 2.9 42.9 2.1 56.37 145
Madi-Okollo 47.0 2.4 51.9 2.6 92.5 4.6 31.2 3.1 30.0 1.5 34.1 3.4 29.2 1.5 51.2 2.6 78.6 7.9 7.8 7.1 100.0 5.0 21.9 1.1 0 0.0 56.7 5.0 24 1.2 50.6 2.5 51.44 146
NATIONAL 74.0 3.7 92.5 4.6 184.8 5.0 47.0 4.7 49.7 2.5 65.7 6.6 47.3 2.4 79.5 4.0 86.9 8.7 5.5 8.0 97.1 4.9 60.8 3.0 60 3.0 93.7 5.0 54.2 2.7 19.7 3.9 72.61

International Day to End Obstetric Fistula 2024 commemoration in Residents of Namayingo commit to ending Obstetric Fistula
Namayingo District by 2030
5.2 GENERAL HOSPITAL PERFORMANCE AGAINST APGS & DRGS IN FY 2023/24
S/N Name Ownership No. of beds Total OPD No. of admissions APG Ranking DRG Ranking
1 Kitgum GOV 255 71,577 18,885 197,753 65,014.0
2 Tororo GOV 224 84,258 15,517 276,749 60,682.9
3 Kamuli GOV 179 71,825 18,064 317,514 60,158.8
4 Atutur GOV 153 77,959 17,328 261,459 54,765.6
5 Iganga GOV 107 82,692 17,712 403,320 54,503.3
6 Katakwi GOV 108 42,757 13,309 212,996 54,477.6
7 Virika PNFP 163 19,247 3,110 107,576 53,788.5
8 Dr. Ambrosoli Memorial Kalongo PNFP 286 34,524 12,354 183,350 50,714.3
9 Luwero GOV 109 60,455 19,377 370,223 50,279.8
10 Mityana GOV 171 70,094 13,396 245,194 49,944.1
11 Mukono GOV 75 55,332 12,911 595,974 48,690.6
12 Kawolo GOV 154 125,455 17,888 309,233 48,480.9
13 Angal PNFP 220 23,652 11,481 140,247 47,355.7
14 Kitovu PNFP 180 24,863 5,379 99,529 46,906.1
15 St. John XXIII Aber PNFP 222 41,242 13,556 182,993 44,701.9
16 Kaberamaido GOV 92 47,408 11,339 194,078 43,334.2
17 Buwenge GOV 59 33,167 5,601 140,876 43,186.2
18 Amuria GOV 123 50,674 14,107 171,826 41,744.4
19 Nebbi GOV 185 59,577 12,422 321,734 40,983.2
20 Kiboga GOV 100 75,951 11,081 267,542 39,252.0
21 Kiryandongo GOV 114 41,894 11,570 224,080 37,386.9
22 Adjumani GOV 314 54,524 10,928 186,393 36,341.4
23 Pag Mission PNFP 225 15,964 7,573 145,403 35,878.1
24 Kaabong GOV 139 45,894 9,957 147,073 34,485.3
25 Pallisa GOV 166 59,466 12,203 158,101 34,164.2
26 Cure Children's PNFP 77 7,262 2,169 8,348 33,839.0
27 Bwera GOV 146 45,312 15,964 176,375 33,812.4
28 Anaka GOV 133 34,670 10,092 245,826 32,462.9
29 Busolwe GOV 107 59,286 9,784 166,135 32,459.7
30 Mutolere PNFP 200 9,782 6,353 68,018 32,352.3
31 Kyenjojo GOV 116 44,729 10,046 311,260 31,251.1
32 Nakasero PFP 99 94,746 6,587 142,026 31,093.3

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 129

S/N Name Ownership No. of beds Total OPD No. of admissions APG Ranking DRG Ranking
33 Gombe GOV 98 35,443 11,415 156,573 30,694.2
34 Ibanda PNFP 184 20,625 8,987 119,279 29,626.8
35 Rukunyu GOV 120 35,346 10,849 148,231 28,979.6
36 Bugiri GOV 104 47,384 10,440 253,583 28,944.1
37 Apac GOV 125 67,873 11,297 283,576 28,617.0
38 Kagadi GOV 119 17,772 12,724 165,574 27,167.7
39 Bududa GOV 107 29,240 11,311 151,193 27,057.3
40 Kisoro GOV 141 59,876 8,120 162,474 27,008.5
41 Bombo General Military GOV 214 51,334 9,881 178,284 26,186.5
42 Kapchorwa GOV 129 22,615 10,571 158,898 25,811.5
43 Nakaseke GOV 187 78,092 8,830 188,765 25,469.3
44 Bundibugyo GOV 105 45,455 10,802 310,075 24,757.5
45 Holy Innocent's Children's PNFP 81 36,071 6,046 86,768 23,164.7
46 Amai Community PNFP 99 7,648 5,056 101,504 22,845.3
47 Kagando PNFP 209 10,727 6,379 133,370 22,473.2
48 Masindi GOV 136 10,208 179,349 22,261.8
49 Masafu GOV 86 57,834 9,415 188,736 21,840.2
50 Moyo GOV 213 35,912 4,742 108,498 21,779.3
51 Rakai GOV 83 49,395 7,486 84,470 21,300.1
52 Abim GOV 129 33,984 5,704 118,545 21,288.7
53 Koboko GOV 189 34,519 9,956 347,810 20,579.5
54 St. Joseph's Kitgum PNFP 280 21,066 4,288 101,491 20,511.1
55 St. Francis Naggalama PNFP 98 68,263 3,765 182,272 20,281.5
56 COU Kisiizi PNFP 274 41,389 6,277 105,752 20,144.9
57 Kiwoko PNFP 204 22,434 6,320 147,150 20,061.2
58 Kalisizo GOV 93 7,515 143,372 20,019.8
59 KIU Teaching PFP 363 31,107 8,288 75,092 19,487.1
60 Lwala PNFP 100 8,792 4,033 59,436 18,933.0
61 St. Paul (Kasese) PNFP 123 5,933 5,213 75,842 18,760.8
62 St. Josephs Maracha PNFP 200 12,097 4,586 68,039 18,391.9
63 Nyapea PNFP 139 9,437 6,570 114,620 18,374.7
64 Ishaka Adventist PNFP 136 16,886 6,289 187,618 17,944.6
65 Kitagata GOV 145 23,100 8,440 85,490 17,140.8
S/N Name Ownership No. of beds Total OPD No. of admissions APG Ranking DRG Ranking
66 Dabani PNFP 96 12,480 4,393 131,747 17,121.9
67 Kambuga GOV 100 33,334 6,412 100,013 17,020.4
68 Lyantonde GOV 100 46,961 7,372 136,174 16,783.8
69 Karoli Lwanga (Nyakibale) PNFP 180 14,192 6,422 92,453 16,455.5
70 Kamuli Mission PNFP 159 30,674 4,283 136,864 16,089.8
71 Ngora Freda Carr PNFP 89 9,664 4,030 61,570 15,333.2
72 Bwindi Community PNFP 152 24,051 4,283 97,642 14,922.1
73 Comboni PNFP 100 16,541 4,229 94,968 14,796.7
74 St. Charles Lwanga PNFP 78 17,734 2,762 55,301 14,182.8
75 Villa Maria PNFP 126 30,743 4,383 82,843 14,108.1
76 Ruharo Mission PNFP 132 48,798 4,659 49,241 13,724.3
77 Lugazi Scoul PNFP 43 45,986 3,358 81,688 13,297.8
78 Amudat PNFP 84 11,736 3,225 69,852 13,026.1
79 Mt. St. Mary's -DOK PNFP 207 21,700 3,551 54,651 12,981.4
80 Buliisa GOV 32 15,593 3,599 76,629 12,809.0
81 Life Care PFP 70 18,166 2,512 58,812 12,478.6
82 Kuluva PNFP 210 9,776 4,093 110,539 11,989.9
83 Kumi (Ongino) PNFP 230 16,485 3,301 72,167 11,936.3
84 Itojo GOV 147 42,792 8,173 82,136 11,524.0
85 Kisubi PNFP 94 69,895 5,245 178,460 11,414.9
86 Rugarama PNFP 171 24,720 4,490 62,917 11,258.1
87 Double Cure PNFP 105 23,711 1,491 40,922 10,878.3
88 Benedictine Eye PNFP 136 19,978 2,159 7,305 10,158.1
89 Kibuli PNFP 130 95,427 6,424 105,519 9,648.3
90 Kyegegwa GOV 37 25,117 2,877 152,091 9,535.9
91 Bishop Ascili PNFP 98 23,511 3,828 83,083 9,392.6
92 Gulu Military GOV 67 25,328 2,105 51,828 9,080.3
93 Mukono COU PNFP 50 68,663 3,146 141,498 9,029.9
94 Kotido GOV 35 53,548 3,981 195,991 8,793.2
95 Nkozi PNFP 100 30,559 2,658 68,102 8,632.7
97 Kakira Sugar Works PNFP 69 43,883 3,054 71,738 8,542.3
98 Kida PFP 43 3,834 2,131 32,843 8,343.3
99 St. Francis Nyenga PNFP 77 16,235 1,799 69,091 8,238.3

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 131

S/N Name Ownership No. of beds Total OPD No. of admissions APG Ranking DRG Ranking
100 Buluba PNFP 130 37,091 2,306 79,578 8,235.1
101 Rubongi Military GOV 53 15,953 2,031 56,406 7,957.7
102 Rushere Community PNFP 73 7,984 1,811 65,863 7,881.3
103 St. Catherine's PFP 49 75,790 2,323 59,284 7,816.2
104 Rushoroza PNFP 105 11,928 2,702 60,797 7,736.7
105 Kilembe Mines PNFP 222 17,071 2,587 49,549 7,399.0
106 Trinity Bajjo International PFP 13 1,815 529 5,740 7,349.1
107 Kanginima (Butebo) PNFP 35 2,703 1,668 25,079 7,272.8
108 Doctors Seguku PFP 47 2,086 62,662 7,208.2
110 Doctors Plaza PFP 48 6,964 1,804 13,081 7,145.1
111 Ggwatiro Nursing Home PFP 74 3,653 2,522 34,784 7,034.9
112 Mbale People's PFP 38 10,624 5,336 24,866 7,005.2
113 Murchision Bay Main GOV 113 15,500 2,665 18,752 6,928.0
114 Bethesda (Soroti) PFP 51 20,928 1,350 45,813 6,927.9
115 True Vine PFP 19 8,937 1,107 21,271 6,454.9
116 Buwenge NGO PNFP 33 6,763 1,809 83,060 6,281.4
117 Nakasongola Military GOV 94 18,172 1,529 43,722 6,121.6
118 Kampala PFP 68 59,275 4,721 68,328 6,002.6
119 Montana PFP 21 2,475 1,149 7,039 5,976.4
120 Gary Holmes PNFP 51 35,443 1,326 49,480 5,549.5
121 Florence Nightingale PFP 44 4,472 1,250 23,155 5,456.1
122 Kabarole COU PNFP 66 16,352 1,961 45,259 5,355.4
123 Lira University GOV 80 7,408 1,363 31,890 5,142.6
124 Kumi Orthopaedic Centre PFP 120 3,677 815 1,456 5,062.0
125 St. Joseph PFP 40 32,278 2,115 46,515 4,918.2
126 Bamu PFP 98 4,166 1,500 8,664 4,883.0
127 Oriajini PNFP 38 5,149 1,422 95,411 4,830.7
128 Nkokonjeru PNFP 65 14,747 1,517 65,033 4,767.8
129 Mt. Elgon PFP 34 13,052 1,028 12,382 4,402.8
130 Kihunde PFP 26 6,893 711 8,007 4,285.2
131 Kasese PFP 51 1,208 10,141 4,105.8
132 Gulu Independent PFP 98 5,428 982 30,179 3,956.7
133 Restoration Gateway PNFP 92 2,629 1,251 9,934 3,848.6
S/N Name Ownership No. of beds Total OPD No. of admissions APG Ranking DRG Ranking
134 St. Stephen's Mpererwe PNFP 32 8,554 1,034 41,955 3,771.5
135 Mayanja Memorial PFP 69 15,516 1,255 23,838 3,512.7
136 Holy Cross Orthodox Mission Namungoona PNFP 31 10,055 1,072 47,428 2,835.4
137 Rhema PFP 21 6,329 571 13,691 2,635.2
138 LifeLink (Kyaliwajala) PFP 40 74,997 1,635 46,204 2,549.9
139 St. Anthony's PNFP 71 6,140 1,413 41,186 2,408.8
140 Anbar PFP 20 10,388 468 21,436 2,290.0
141 Divine Mercy (Kamukuzi) PFP 33 28,582 1,111 83,763 2,253.3
142 Old Kampala PNFP 45 5,600 526 16,516 2,220.1
143 Hope Missionary PFP 19 2,748 521 4,815 2,214.0
144 Pioneer PFP 19 3,544 386 3,778 2,195.0
145 Kabasa Memorial PNFP 36 1,118 530 8,119 2,056.8
146 Terrewode Community Women PNFP 24 448 1,109 1,668.0
147 Al-Shafa PFP 59 8,580 293 11,979 1,513.7
148 Novafinia Medical Centre PFP 4 3,035 217 8,307 1,192.7
149 Great Lakes PFP 45 4,368 329 8,272 1,103.4
150 Kampala Independent PFP 11 7,612 398 20,405 1,096.2
152 Nile International PFP 3 9,244 273 18,057 1,063.4
153 Case Medical Centre PFP 53 107,176 2,643 93,613 935.8
154 Mildmay Uganda PNFP 40 18,250 727 91,455 883.0
155 Victory Women's Medical Care PFP 8 3,277 147 9,719 879.8
156 Paragon PFP 25 2,721 401 13,494 869.2
159 Ahamadiya PNFP 31 3,996 340 26,922 846.7
160 Norvik PFP 27 89,165 1,002 48,710 679.0
161 Medicare (Mpigi) PFP 30 943 105 16,036 624.3
162 Medi-Pal International PFP 3 18,591 205 9,693 604.9
163 Jaro PFP 24 3,683 297 9,342 565.2
164 Spep Karl PNFP 13 687 119 4,826 480.2
165 International Kampala PFP NR 139,232 96,926 466.8
166 Galilee Community PFP 25 1,467 92 49,234 391.7
167 Roswell Women and Children PFP NR 17,120 72,910 375.6
168 Doctors Referral PFP NR 3,312 19,982 256.8
169 Tumu PNFP 6 83 2,119 252.3
170 Mukwaya PFP NR 41,127 42,073 180.0

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 133

S/N Name Ownership No. of beds Total OPD No. of admissions APG Ranking DRG Ranking
171 UMC Victoria (Naguru) PFP NR 71,660 67,067 143.6
172 Mbarara Community PFP 15 634 80 1,032 92.5
173 Peoples Medical Centre PFP NR 10,074 22,159 66.4
174 Wynestone Medical centre PFP NR 4,689 16,133 54.8
175 Master Cares Bethlehem Community PNFP 5 290 15,510 53.6
176 Medsafe PFP NR 5,478 53,244 49.6
177 Womens Internstional and Fertility Centre PFP NR 2,388 19,290 38.0
178 St. Andrea Kahwa Kooki Community PFP NR 5,064 13,663 34.0
179 Le Memorial Medical Services PFP NR 3,659 12,683 23.2
180 Kitintale PFP NR 961 10,094 18.8
181 Ark Specialist PFP NR 3,141 8,408 12.8
182 Lifeline PFP NR 4,106 6,743 9.2
183 Ankole PFP NR 904 1,333 6.0
184 Ntinda PFP NR 3,043 5,759 4.8
185 Addy Memorial PFP NR 976 6,826 4.4
186 ASG Eye PFP NR 10,359 - -
187 Bai Heath & Medical International Centre PFP NR 11,136 9,486 -
188 Corsu Rehabilitation PNFP NR 25,029 1,463 -
189 Dr Agarwal's Eye PFP NR 14,991 - -
190 Lifelink (Ntinda) PFP NR 60,328 51,865 -
191 Makerere University GOV NR 26,767 28,884 -
192 URO Care PFP NR 6,062 832 -
193 Vine PFP NR 1,891 2,330 -
Total 5,960,260 919,717 17,503,506 2,815,704
5.3 GENERAL HOSPITAL PERFORMANCE FOR QUALITY IN FY 2023/24

S/N
Name
Ownership
No. of
admissions
Number of
Deaths
Inpatient
Mortality Rate
Deliveries in
unit
Fresh still
birth
Macerated
still birth -
Total
Newborn
deaths (0-7
days)
Perinatal
death/1000
Neonatal
Death 8-28
days
Neonatal
mortality rate
Maternal
deaths
MMR/100,000
BOR
ALOS

1 Kapchorwa GOV 10,571 578 5.5 2,929 41 39 14 33 - 4.9 5 171 210 9.4
2 Iganga GOV 17,712 743 4.2 7,361 129 163 136 59 25 22.2 20 272 135 3.0
3 Kamuli GOV 18,064 607 3.4 3,279 73 70 132 90 3 44.0 18 549 109 3.9
4 Kaberamaido GOV 11,339 112 1.0 1,678 11 22 8 25 - 4.8 2 119 103 3.1
5 Atutur GOV 17,328 347 2.0 2,335 21 52 15 38 1 6.9 3 128 103 3.3
6 Kagadi GOV 12,724 228 1.8 4,305 70 69 23 39 4 6.5 5 116 102 3.5
7 Bwera GOV 15,964 607 3.8 5,352 34 45 4 16 - 0.8 6 112 98 3.3
8 Bundibugyo GOV 10,802 94 0.9 2,152 13 26 4 20 - 1.9 2 93 96 3.4
9 Bugiri GOV 10,440 228 2.2 4,540 110 77 23 49 25 11.2 8 176 91 3.3
10 Gombe GOV 11,415 187 1.6 5,000 115 48 42 42 20 12.8 8 160 89 2.8
11 Amudat PNFP 3,225 80 2.5 560 19 6 8 59 1 16.2 2 357 88 8.4
12 Angal PNFP 11,481 828 7.2 3,313 44 68 18 39 7 7.5 7 211 79 5.6
13 Kambuga GOV 6,412 166 2.6 2,132 17 20 33 33 1 16.0 5 235 70 4.0
14 Cure Children's PNFP 2,169 42 1.9 - - - - 68 8.8
15 Kaabong GOV 9,957 210 2.1 994 26 9 20 56 2 22.6 5 503 68 3.4
16 Holy Innocent's Children's PNFP 6,046 229 3.8 - - - 23 - 4 - - 66 3.2
17 Anaka GOV 10,092 135 1.3 3,055 24 51 26 33 3 9.6 2 65 60 2.9
18 Abim GOV 5,704 155 2.7 950 17 8 11 39 - 11.8 4 421 60 5.0
19 Busolwe GOV 9,784 170 1.7 2,361 19 21 1 17 - 0.4 2 85 60 2.4
20 Dr. Ambrosoli Memorial Kalongo PNFP 12,354 520 4.2 2,752 35 48 53 50 11 23.5 5 182 60 5.1
21 Kampala PFP 4,721 72 1.5 1,734 2 - 1 2 - 0.6 - - 56 2.9
22 Itojo GOV 8,173 136 1.7 3,226 42 61 14 37 1 4.7 7 217 54 3.5
23 Bududa GOV 11,311 233 2.1 1,525 26 15 20 41 - 13.5 1 66 52 1.8
24 Case Medical Centre PFP 2,643 3 0.1 643 - 3 - 4 1 1.3 - - 51 3.8
25 Kalisizo GOV 7,515 171 2.3 2,549 22 27 15 25 - 5.9 2 78 51 2.3
26 Amuria GOV 14,107 154 1.1 2,805 57 61 48 62 - 17.8 3 107 50 1.6
27 Amai Community PNFP 5,056 229 4.5 1,049 23 10 7 39 - 6.8 4 381 49 3.5
28 Ibanda PNFP 8,987 376 4.2 2,433 42 39 35 49 - 14.9 6 247 44 3.3
29 COU Kisiizi PNFP 6,277 285 4.5 856 5 11 40 65 2 48.9 2 234 39 6.2
30 Adjumani GOV 10,928 747 6.8 3,242 29 33 13 23 - 4.0 4 123 39 4.1
31 Ggwatiro Nursing Home PFP 2,522 19 0.8 622 - - - - - - - - 39 4.1

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 135

S/N
Name
Ownership
No. of
admissions
Number of
Deaths
Inpatient
Mortality Rate
Deliveries in
unit
Fresh still
birth
Macerated
still birth -
Total
Newborn
deaths (0-7
days)
Perinatal
death/1000
Neonatal
Death 8-28
days
Neonatal
mortality rate
Maternal
deaths
MMR/100,000
BOR
ALOS

32 Kagando PNFP 6,379 583 9.1 1,313 17 17 29 49 - 22.7 5 381 38 4.5

33 Gulu Military GOV 2,105 30 1.4 94 - - - - - - - - 38 4.4
34 Buwenge NGO PNFP 1,809 5 0.3 969 1 2 - 3 - - - - 37 2.5
35 Kanginima (Butebo) PNFP 1,668 22 1.3 257 - - - - - - - - 37 2.8
36 Karoli Lwanga (Nyakibale) PNFP 6,422 269 4.2 1,296 5 44 31 62 4 27.1 4 309 35 3.6
37 Bwindi Community PNFP 4,283 128 3.0 872 4 3 17 27 1 20.2 2 229 34 4.4
38 Bombo General Military GOV 9,881 306 3.1 3,349 35 83 15 41 - 4.6 5 149 34 2.7
39 Hope Missionary PFP 521 9 1.7 62 1 - 1 33 - 16.4 - 34 4.4
40 Comboni PNFP 4,229 134 3.2 1,071 13 12 24 46 1 23.4 1 93 31 2.7
41 Apac GOV 11,297 114 1.0 3,146 31 24 27 26 8 11.3 4 127 30 1.2
42 Bishop Ascili PNFP 3,828 97 2.5 1,333 16 9 8 25 1 6.8 3 225 28 2.6
43 Ishaka Adventist PNFP 6,289 226 3.6 1,639 3 1 1 3 1 1.2 1 61 27 2.2
44 Kakira Sugar Works PNFP 3,054 86 2.8 191 - 1 - 5 - - - - 26 2.1
45 Divine Mercy (Kamukuzi) PFP 1,111 14 1.3 881 5 7 - 14 1 1.1 1 114 26 2.8
46 Dabani PNFP 4,393 165 3.8 988 35 4 13 54 1 14.6 4 405 25 2.0
47 Kabarole COU PNFP 1,961 41 2.1 333 2 6 - 21 - - - - 21 2.6
48 Anbar PFP 468 24 5.1 59 2 - 1 52 - 17.2 - - 21 3.2
49 Holy Cross Orthodox Mission Namungoona PNFP 1,072 28 2.6 333 2 - 1 9 - 3.0 1 300 21 2.2
50 Buluba PNFP 2,306 114 4.9 491 20 16 14 110 - 30.8 3 611 19 3.9
51 Gary Holmes PNFP 1,326 5 0.4 606 1 5 - 10 - - 1 165 18 2.5
52 Kamuli Mission PNFP 4,283 267 6.2 1,189 33 13 31 66 34 55.6 2 168 17 2.3
53 Florence Nightingale PFP 1,250 42 3.4 147 3 - 1 28 - 6.9 2 1,361 16 2.1
54 Kasese PFP 1,208 111 9.2 410 - 2 - 5 1 2.4 - - 15 2.3
55 Kampala Independent PFP 398 14 3.5 110 - - 1 9 - 8.8 - - 14 1.4
56 Buliisa GOV 3,599 35 1.0 800 22 11 16 63 - 20.4 4 500 14 0.5
57 Mbale People's PFP 5,336 76 1.4 295 2 3 2 24 - 6.9 1 13 4.0
58 Benedictine Eye PNFP 2,159 - - - - - - NR - - - - 11 2.6
59 Buwenge GOV 5,601 87 1.6 1,401 17 24 12 39 - 8.8 2 143 11 0.4
60 Kabasa Memorial PNFP 530 3 0.6 73 - 2 - 28 - - - - 11 2.7
61 Katakwi GOV 13,309 298 2.2 2,411 30 32 38 42 3 17.1 8 332 9 3.3
62 Luwero GOV 19,377 200 1.0 5,024 30 42 1 15 - 0.2 4 80 8 2.0
63 Jaro PFP 297 8 2.7 78 - 1 5 78 1 77.9 - - 8 2.2
S/N
Name
Ownership
No. of
admissions
Number of
Deaths
Inpatient
Mortality Rate
Deliveries in
unit
Fresh still
birth
Macerated
still birth -
Total
Newborn
deaths (0-7
days)
Perinatal
death/1000
Neonatal
Death 8-28
days
Neonatal
mortality rate
Maternal
deaths
MMR/100,000
BOR
ALOS

64 Kitgum GOV 18,885 878 4.6 3,683 34 65 15 31 3 5.0 3 81 8 4.4

65 Masafu GOV 9,415 154 1.6 2,988 42 32 25 35 1 9.1 9 301 7 3.0
66 Gulu Independent PFP 982 25 2.5 71 - 2 1 43 - 14.3 - - 7 2.7
67 Kotido GOV 3,981 20 0.5 998 24 16 14 57 1 15.8 4 401 7 2.8
68 Mukono GOV 12,911 105 0.8 9,123 52 60 47 17 - 5.2 10 110 7 1.8
69 Kiryandongo GOV 11,570 222 1.9 2,737 44 34 40 44 1 15.4 2 73 7 3.0
70 Kiboga GOV 11,081 286 2.6 3,883 68 49 40 42 5 11.9 7 180 7 2.7
71 Double Cure PNFP 1,491 24 1.6 244 3 8 2 57 - 8.8 - - 7 1.7
72 St. John XXIII Aber PNFP 13,556 1,044 7.7 3,786 55 43 112 55 5 30.8 21 555 7 4.7
73 Pallisa GOV 12,203 428 3.5 3,977 83 79 61 58 1 16.0 11 277 6 3.7
74 Rukunyu GOV 10,849 357 3.3 3,615 24 20 16 17 1 4.7 5 138 6 3.0
75 Nebbi GOV 12,422 452 3.6 3,105 20 58 33 37 21 18.0 8 258 6 3.8
76 Nakasero PFP 6,587 288 4.4 1,315 - 10 1 8 4 3.6 1 76 6 3.8
77 Rakai GOV 7,486 89 1.2 2,113 32 32 1 31 - 0.5 2 95 6 2.8
78 Tororo GOV 15,517 933 6.0 4,330 92 58 69 51 2 16.7 10 231 6 3.6
79 Mityana GOV 13,396 522 3.9 6,556 92 76 8 28 - 1.3 9 137 5 3.0
80 Great Lakes PFP 329 6 1.8 82 1 - 2 44 - 29.4 - - 5 2.4
81 Lwala PNFP 4,033 164 4.1 772 24 14 40 104 9 65.2 - - 4 4.6
82 Masindi GOV 10,208 407 4.0 4,379 53 57 30 33 7.0 2 4 2.4
83 Kyenjojo GOV 10,046 333 3.3 3,422 47 32 12 27 1 3.8 6 175 4 2.1
84 Lyantonde GOV 7,372 103 1.4 2,389 41 36 28 45 - 12.1 11 460 4 2.4
85 Lugazi Scoul PNFP 3,358 - - 311 - - - - - - - - 4 2.3
86 Kisoro GOV 8,120 162 2.0 3,202 15 26 9 16 - 2.8 1 31 4 3.0
87 Kiwoko PNFP 6,320 492 7.8 1,750 28 28 6 37 - 3.5 5 286 4 5.5
88 Mutolere PNFP 6,353 294 4.6 1,336 30 30 19 60 5 18.4 2 150 4 5.4
89 Bamu PFP 1,500 158 10.5 555 2 4 - 11 - - - - 4 0.9
90 Kisubi PNFP 5,245 64 1.2 1,327 5 10 3 13 - 2.2 1 75 4 2.9
91 Terrewode Community Women PNFP 448 6 1.3 - - - - - 4 8.6
92 Mukono COU PNFP 3,146 38 1.2 1,034 6 12 - 18 - - 2 193 3 2.4
93 St. Josephs Maracha PNFP 4,586 312 6.8 928 28 30 62 138 2 73.6 1 108 3 6.6
94 Master Cares Bethlehem Community PNFP 290 - - 134 1 - 1 15 - 7.5 - - 3 2.4
95 Kibuli PNFP 6,424 33 0.5 1,918 - - - - - - - - 3 3.0

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 137

S/N
Name
Ownership
No. of
admissions
Number of
Deaths
Inpatient
Mortality Rate
Deliveries in
unit
Fresh still
birth
Macerated
still birth -
Total
Newborn
deaths (0-7
days)
Perinatal
death/1000
Neonatal
Death 8-28
days
Neonatal
mortality rate
Maternal
deaths
MMR/100,000
BOR
ALOS

97 Nyapea PNFP 6,570 286 4.4 2,610 37 39 21 38 - 8.2 3 115 3 3.0

98 Pag Mission PNFP 7,573 271 3.6 862 11 4 2 20 - 2.3 - - 3 4.1
99 Trinity Bajjo International PFP 529 30 5.7 7 - - - - - 3 3.3
100 Nile International PFP 273 1 0.4 213 4 3 - 34 - - - - 3 1.4
101 Koboko GOV 9,956 362 3.6 3,963 72 53 51 45 3 13.9 9 227 3 2.6
102 Nakaseke GOV 8,830 225 2.5 2,619 30 45 1 30 2 1.2 3 115 3 2.9
103 Ruharo Mission PNFP 4,659 27 0.6 617 3 11 1 25 - 1.6 - - 3 3.8
104 Kuluva PNFP 4,093 272 6.6 1,121 15 16 22 49 1 21.1 5 446 3 6.9
105 Villa Maria PNFP 4,383 296 6.8 909 21 24 9 61 - 10.2 2 220 3 3.8
106 St. Joseph PFP 2,115 6 0.3 614 14 3 2 31 - 3.3 1 163 3 2.5
107 Kawolo GOV 17,888 562 3.1 4,364 50 58 23 31 1 5.6 4 92 3 1.1
108 St. Paul (Kasese) PNFP 5,213 309 5.9 1,664 40 23 15 48 - 9.2 3 180 3 3.0
110 True Vine PFP 1,107 52 4.7 204 4 4 2 51 - 10.1 - - 3 2.1
111 St. Francis Naggalama PNFP 3,765 28 0.7 862 9 15 2 31 - 2.3 1 116 3 3.1
112 Kitovu PNFP 5,379 567 10.5 1,059 20 18 19 54 - 18.0 3 283 3 3.9
113 Novafinia Medical Centre PFP 217 10 4.6 11 1 - - 100 - - - - 3 2.2
114 Oriajini PNFP 1,422 127 8.9 429 4 6 6 38 - 14.3 - - 2 2.9
115 Kida PFP 2,131 17 0.8 364 3 2 4 25 - 11.2 1 275 2 2.1
116 Kumi (Ongino) PNFP 3,301 121 3.7 567 15 6 6 49 - 10.8 2 2 7.1
117 Mt. Elgon PFP 1,028 32 3.1 67 1 1 19 304 - 275.4 - - 2 3.3
118 Al-Shafa PFP 293 91 31.1 58 - - - 5 - - - - 2 1.7
119 Nkozi PNFP 2,658 90 3.4 640 13 15 4 52 - 6.5 2 313 2 3.7
120 Ngora Freda Carr PNFP 4,030 184 4.6 474 13 13 7 73 - 15.6 1 211 2 2.1
121 Pioneer PFP 386 29 7.5 - - - - - 2 4.5
122 Rugarama PNFP 4,490 195 4.3 482 6 10 20 76 2 46.3 3 622 2 3.5
123 Rushoroza PNFP 2,702 72 2.7 973 1 5 1 7 - 1.0 2 206 2 3.2
124 Life Care PFP 2,512 14 0.6 670 7 6 1 21 - 1.5 - 2 2.2
125 Rhema PFP 571 11 1.9 55 2 - 2 73 - 36.4 - - 2 2.9
126 St. Francis Nyenga PNFP 1,799 76 4.2 505 14 2 11 54 - 21.9 1 198 2 3.2
127 St. Charles Lwanga PNFP 2,762 109 3.9 573 5 7 8 34 - 13.8 - - 2 2.1
128 KIU Teaching PFP 8,288 439 5.3 726 17 30 37 118 - 51.8 1 138 2 3.2
129 Galilee Community PFP 92 3 3.3 49 - - - - - - - - 2 1.7
S/N
Name
Ownership
No. of
admissions
Number of
Deaths
Inpatient
Mortality Rate
Deliveries in
unit
Fresh still
birth
Macerated
still birth -
Total
Newborn
deaths (0-7
days)
Perinatal
death/1000
Neonatal
Death 8-28
days
Neonatal
mortality rate
Maternal
deaths
MMR/100,000
BOR
ALOS

130 St. Stephen's Mpererwe PNFP 1,034 13 1.3 362 3 2 - 14 - - - - 2 2.1

131 Rubongi Military GOV 2,031 13 0.6 171 1 - - 6 - - - - 2 1.8
132 Kihunde PFP 711 10 1.4 37 - - - - - - - - 1 2.3
133 Montana PFP 1,149 33 2.9 150 - - - - - - - - 1 1.1
134 Murchision Bay Main GOV 2,665 162 6.1 - - - - - 1 2.6
135 Nkokonjeru PNFP 1,517 52 3.4 533 7 9 4 38 - 7.6 1 188 1 2.6
136 Nakasongola Military GOV 1,529 39 2.6 103 - 1 - 12 - - - - 1 3.7
137 Moyo GOV 4,742 224 4.7 1,808 20 22 19 34 - 10.7 4 221 1 2.7
138 Victory Women's Medical Care PFP 147 2 1.4 146 5 5 1 80 - 7.3 - - 1 3.1
139 Kilembe Mines PNFP 2,587 88 3.4 648 3 5 2 20 1 5.9 1 154 1 4.8
140 Doctors Plaza PFP 1,804 77 4.3 380 - - - - - - - - 1 0.1
141 St. Joseph's Kitgum PNFP 4,288 160 3.7 564 11 15 8 61 - 14.4 - - 1 3.5
142 Mildmay Uganda PNFP 727 17 2.3 365 2 4 3 25 - 8.3 - - 1 2.9
143 St. Anthony's PNFP 1,413 103 7.3 279 2 - 3 19 - 11.6 - - 1 2.6
144 Lira University GOV 1,363 35 2.6 255 - 3 1 16 - 3.9 - - 1 2.9
145 Kitagata GOV 8,440 378 4.5 3,226 15 37 11 20 - 3.4 2 62 1 0.8
146 Ahamadiya PNFP 340 5 1.5 94 - 2 - 22 - - - - 1 0.4
147 Rushere Community PNFP 1,811 73 4.0 323 6 7 6 59 - 18.8 - - 1 1.9
148 Paragon PFP 401 101 25.2 179 2 1 2 24 - 9.7 - - 1 3.0
149 Mt. St. Mary's -DOK PNFP 3,551 185 5.2 823 12 15 6 42 1 8.8 1 122 1 2.7
150 Virika PNFP 3,110 254 8.2 709 17 5 5 39 - 7.1 4 564 1 2.2
152 Restoration Gateway PNFP 1,251 32 2.6 252 6 1 6 53 - 24.5 - - 1 3.1
153 Bethesda (Soroti) PFP 1,350 29 2.1 171 - - - 5 - - - - 1 0.1
154 Tumu PNFP 83 - - 3 - - - - - - - - 1 2.0
155 Spep Karl PNFP 119 5 4.2 19 - - - - - - - 1 3.0
156 Old Kampala PNFP 526 125 23.8 50 - - - - - - - - 0 1.8
159 Doctors Seguku PFP 2,086 19 0.9 603 1 1 1 5 - 1.7 2 332 0 0.0
160 Kumi Orthopaedic Centre PFP 815 18 2.2 - - - - 0 2.5
161 Mbarara Community PFP 80 7 8.8 42 - - - - - - - - 0 2.4
162 Norvik PFP 1,002 5 0.5 213 3 1 - 19 - - - - 0 0.3
163 LifeLink (Kyaliwajala) PFP 1,635 1 0.1 477 3 2 - 12 - - - - 0 0.3
164 Medicare (Mpigi) PFP 105 7 6.7 18 1 - 1 118 - 58.8 - - 0 2.1

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 139

S/N
Name
Ownership
No. of
admissions
Number of
Deaths
Inpatient
Mortality Rate
Deliveries in
unit
Fresh still
birth
Macerated
still birth -
Total
Newborn
deaths (0-7
days)
Perinatal
death/1000
Neonatal
Death 8-28
days
Neonatal
mortality rate
Maternal
deaths
MMR/100,000
BOR
ALOS

165 Mayanja Memorial PFP 1,255 27 2.2 321 2 3 - 16 - - 1 312 0 0.2

166 St. Catherine's PFP 2,323 1 0.0 463 4 2 - 13 - - - - 0 0.0
167 Kyegegwa GOV 2,877 115 4.0 2,162 23 30 21 35 - 9.9 - - - -
168 Medi-Pal International PFP 205 3 1.5 91 - - 1 14 - 14.1 - - - -
169 International Kampala PFP - - 1,167 - 2 - 2 - - 1 86 - -
170 Roswell Women and Children PFP - - 939 - - - - - - - - -
171 Doctors Referral PFP - - 642 - 2 1 5 - 1.5 - - - -
172 Mukwaya PFP - - 450 1 3 1 11 - 2.3 1 222 - -
173 UMC Victoria (Naguru) PFP - - 359 - - - - - -
174 Peoples Medical Centre PFP - - 166 - - - - - - - - -
175 Wynestone Medical centre PFP - - 137 - - - - - -
176 Medsafe PFP - - 124 - - - - - -
177 Womens Internstional and Fertility Centre PFP - - 95 - - - - - - - - -
178 St. Andrea Kahwa Kooki Community PFP - - 85 3 - 2 61 - 24.4 - - - -
179 Le Memorial Medical Services PFP - - 58 - - - - - -
180 Kitintale PFP - - 47 - - - - - -
181 Ark Specialist PFP - - 32 - - 2 63 - 62.5 - - - -
182 Lifeline PFP - - 23 1 - - - - -
183 Ankole PFP - - 15 - - - - - - -
184 Ntinda PFP - - 12 - - - - - - -
185 Addy Memorial PFP - - 11 2 - - - - - -
186 ASG Eye PFP - - - - - - - - -
187 Bai Heath & Medical International Centre PFP - - - - - - - -
188 Corsu Rehabilitation PNFP - - - - - - - -
189 Dr Agarwal's Eye PFP - - - - - - -
190 Lifelink (Ntinda) PFP - - - - - - - -
191 Makerere University GOV - - - - - - - -
192 URO Care PFP - - - - - - - -
193 Vine PFP - - - - - - - -
Total 919,717 27,963 3 248,694 3,081 3,224 2,430 36 329 11.3 424 170 4 3
5.4 HC IV PERFORMANCE FY 2023/24 AGAINST APGS AND DRGS IN FY 2023/24

S/N
Name
Ownership
No. of beds
No. of admissions
Total OPD
Number of Deaths
Inpatient Mortality
Rate/1000
Deliveries
Fresh still birth
Macerated still birth
Newborn deaths (0-7
days)
Perinatal death/1000
Neonatal Death 8-28
days
Neonatal mortality
rate/1000
Maternal deaths
MMR/100,000
Patient days
BOR
ALOS
Caesarean sections
Blood Units
Total APG
Total DRG
Total Score (%)

1 Bujubuli GOV 201 11,553 65,149 82 7.10 4,879 3 3 0 1 1 0.2 0 0.0 16,832 22.9 1.5 1,459 0 115,360 12,271 82.6
2 Rwamwanja GOV 153 12,130 52,222 71 5.85 3,793 8 5 1 4 0 0.3 1 26.4 33,639 60.2 2.8 747 278 105,954 10,590 73.7
3 Panyadoli GOV 196 12,567 68,248 261 20.77 3,131 19 39 12 22 0 3.8 1 31.9 28,154 39.4 2.2 581 683 129,183 9,314 66.9
4 Nabiganda GOV 29 8,166 34,043 30 3.67 1,603 0 0 0 0 0 0.0 0 0.0 9,023 84.3 1.1 14 405 57,454 6,275 63.5
5 Kyangwali GOV 141 13,213 37,292 181 13.70 3,595 27 34 16 22 1 4.8 1 27.8 36,212 70.4 2.7 1,602 1,138 79,592 10,119 63.3
6 Kidera GOV 48 8,449 43,207 19 2.25 1,831 11 10 7 15 1 4.3 2 109.2 16,646 96.0 2.0 213 94 87,618 8,830 61.5
7 Serere GOV 83 11,911 21,700 143 12.01 2,533 4 7 1 5 1 0.8 3 118.4 33,269 110.5 2.8 996 453 45,808 10,208 60.3
8 Kibuku GOV 36 11,647 53,576 54 4.64 1,737 10 14 4 16 0 2.3 1 57.6 22,665 172.5 1.9 352 225 116,201 6,375 58.5
9 Budaka GOV 64 13,760 48,245 141 10.25 3,705 36 24 2 17 0 0.5 2 54.0 35,286 150.9 2.6 748 296 84,341 7,263 57.1
10 Bugobero GOV 29 4,301 22,021 38 8.84 2,095 12 4 2 9 0 1.0 2 95.5 105 1.0 0.0 421 266 51,196 9,508 56.5
11 Butebo GOV 42 7,175 26,755 30 4.18 1,668 6 14 2 13 0 1.2 2 119.9 15,106 99.3 2.1 285 135 63,725 8,073 55.7
12 Ngora GOV 56 6,565 30,628 0 0.00 1,514 8 14 0 15 0 0.0 0 0.0 3,127 15.3 0.5 499 6,375 58,017 4,539 55.0
13 Busia GOV 50 7,816 43,990 19 2.43 2,991 11 8 11 10 0 3.7 1 33.4 10,926 59.9 1.4 298 0 89,314 8,073 54.9
14 Bukedea GOV 66 7,310 23,160 87 11.90 1,476 11 8 6 17 0 4.0 0 0.0 20,307 84.3 2.8 347 63 48,257 7,654 54.2
15 Lalogi GOV 51 7,149 34,022 137 19.16 1,264 7 7 10 19 0 8.1 1 79.1 22,695 122.7 3.2 63 101 68,775 7,182 51.9
16 Rukoki GOV 40 7,448 25,989 106 14.23 3,318 5 15 3 7 0 0.9 2 60.3 16,728 115.5 2.2 1,122 158 43,945 7,525 51.6
17 Budadiri GOV 64 7,098 19,979 78 10.99 3,446 15 33 2 15 0 0.6 0 0.0 20,741 89.3 2.9 843 267 36,242 6,879 51.5
18 Mukuju GOV 40 7,713 35,491 15 1.94 1,507 2 0 1 2 0 0.7 1 66.4 30,764 209.0 4.0 95 14 59,507 5,742 50.4
19 Mayuge GOV 69 8,530 34,259 116 13.60 2,702 37 28 8 27 0 3.0 1 37.0 27,448 109.0 3.2 594 1,119 61,431 6,710 50.1
20 Bumanya GOV 40 6,209 25,873 117 18.84 1,226 24 17 3 37 1 3.3 0 0.0 18,004 123.3 2.9 364 1,420 59,465 5,706 50.1
21 Butenga GOV 50 4,828 16,587 59 12.22 1,765 13 26 0 22 0 0.0 0 0.0 10,137 56.1 2.1 408 111 27,670 6,069 49.6
22 Kawaala GOV 21 9,945 44,914 42 4.22 8,167 34 12 8 7 0 1.0 0 0.0 19,969 262.6 2.0 1,873 1,383 94,842 2,842 48.8
23 Goli PNFP 94 3,828 9,381 119 31.09 1,208 9 13 8 25 0 6.7 0 0.0 11,202 32.8 2.9 385 119 18,207 8,333 48.8
24 Tiriri GOV 27 3,093 26,718 1 0.32 1,137 16 12 5 29 3 7.0 0 0.0 8,332 86.1 2.7 351 459 51,622 4,375 48.8
25 Apapai GOV 35 7,684 25,203 22 2.86 1,010 2 2 4 8 0 4.0 1 99.0 17,542 136.7 2.3 213 66 58,661 5,917 47.7
26 Kumi GOV 56 9,058 51,987 23 2.54 1,745 7 6 5 10 0 2.9 1 57.3 19,016 93.0 2.1 238 0 105,728 5,116 47.6
27 Buvuma GOV 22 2,736 23,475 29 10.60 969 9 6 0 16 0 0.0 0 0.0 6,089 77.6 2.2 95 39 45,450 4,140 47.2
28 Awach GOV 38 7,462 24,709 27 3.62 1,040 6 8 3 17 0 2.9 0 0.0 21,589 155.7 2.9 25 6 51,835 4,875 46.8
29 Nabilatuk GOV 38 6,420 24,836 132 20.56 611 8 3 4 25 0 6.6 0 0.0 18,009 131.3 2.8 61 78 59,078 4,636 46.5
30 Kakumiro GOV 53 5,563 21,476 29 5.21 2,650 27 28 6 24 0 2.3 0 0.0 15,825 81.5 2.8 650 209 39,850 5,668 46.5
31 Kisenyi GOV 132 9,215 38,862 4 0.43 8,844 22 18 13 6 0 1.5 1 11.3 15,823 32.9 1.7 2,128 15 71,390 3,182 46.4
32 Kyabugimbi GOV 28 3,569 13,780 7 1.96 2,373 1 0 0 0 0 0.0 1 42.1 108 1.1 0.0 483 70 22,968 1,808 46.2

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 141

S/N
Name
Ownership
No. of beds
No. of admissions
Total OPD
Number of Deaths
Inpatient Mortality
Rate/1000
Deliveries
Fresh still birth
Macerated still birth
Newborn deaths (0-7
days)
Perinatal death/1000
Neonatal Death 8-28
days
Neonatal mortality
rate/1000
Maternal deaths
MMR/100,000
Patient days
BOR
ALOS
Caesarean sections
Blood Units
Total APG
Total DRG
Total Score (%)

33 Nsinze GOV 46 5,184 20,386 37 7.14 1,557 21 20 5 30 0 3.2 0 0.0 15,119 90.2 2.9 356 294 40,366 5,472 46.0
34 Nyahuka GOV 63 6,184 19,099 20 3.23 1,836 3 11 2 9 0 1.1 1 54.5 23,392 101.6 3.8 220 372 50,183 5,088 43.8
35 Amolatar GOV 51 5,873 19,470 52 8.85 1,347 5 5 2 9 0 1.5 0 0.0 12,781 68.2 2.2 85 75 36,264 4,705 43.2
36 Walukuba GOV 18 2,143 26,072 0 0.00 907 7 3 6 18 0 6.6 0 0.0 4,768 73.9 2.2 78 29 48,693 2,781 43.0
37 Kira GOV 15 3,044 37,096 1 0.33 957 0 4 0 4 0 0.0 0 0.0 3,308 60.4 1.1 0 0 87,884 1,655 42.9
38 Tokora GOV 37 4,494 25,107 84 18.69 642 12 4 3 30 0 4.7 0 0.0 11,869 87.7 2.6 37 118 51,744 3,812 42.2
39 Ogur GOV 37 4,573 27,970 51 11.15 1,416 18 7 1 19 0 0.7 0 0.0 6,777 50.2 1.5 208 155 74,556 2,334 41.9
40 Kakindo GOV 52 6,056 20,056 45 7.43 3,122 33 28 2 21 0 0.7 0 0.0 12,377 64.7 2.0 837 464 42,609 3,784 41.7
41 Busaru PNFP 109 4,664 7,998 176 37.74 714 11 5 3 27 0 4.2 0 0.0 14,151 35.6 3.0 369 320 17,309 6,134 41.6
42 Bufumbo GOV 34 5,043 22,644 10 1.98 1,348 8 7 2 13 0 1.5 0 0.0 13,139 105.9 2.6 299 5,500 38,492 3,559 41.4
43 Busesa GOV 32 4,762 21,148 798 167.58 1,886 12 22 14 26 0 7.6 0 0.0 9,593 82.1 2.0 331 72 43,445 3,816 41.1
44 Luzira Staff Clinic GOV 12 647 32,562 6 9.27 1,233 1 0 0 1 0 0.0 0 0.0 1,183 26.1 1.8 70 24 52,898 346 41.0
45 Aduku GOV 33 5,862 33,972 57 9.72 2,118 23 26 8 27 1 4.3 1 47.2 11,335 95.1 1.9 556 115 59,643 3,828 40.8
46 Bbaale GOV 26 4,025 31,365 64 15.90 966 2 11 3 17 0 3.1 0 0.0 10,711 114.0 2.7 96 60 52,928 3,024 40.7
47 Kiyunga GOV 30 4,602 37,919 98 21.30 1,755 16 11 1 16 0 0.6 1 57.0 6,877 62.1 1.5 266 89 63,547 3,337 40.3
48 Buyende Bugaya GOV 24 2,588 32,349 1 0.39 925 0 3 1 4 0 1.1 1 108.1 4,625 53.5 1.8 45 7 65,358 2,344 40.3
49 Pakwach GOV 58 5,845 21,866 114 19.50 1,516 13 11 3 18 1 2.7 1 66.0 14,169 66.5 2.4 213 135 43,935 4,999 40.1
50 Namatala GOV 24 3,728 19,571 2 0.54 1,894 8 5 0 7 0 0.0 0 0.0 73 0.8 0.0 142 51 40,377 1,413 39.8
51 Obongi GOV 59 4,851 22,925 57 11.75 805 3 10 10 29 2 15.2 1 124.2 11,273 52.7 2.3 176 154 41,859 5,340 39.5
52 Nankandulo GOV 60 4,933 23,224 42 8.51 887 1 9 2 13 0 2.2 1 112.7 12,138 55.7 2.5 177 121 54,688 4,373 39.1
53 Midigo GOV 145 4,761 25,461 37 7.77 1,215 9 8 8 21 0 6.6 0 0.0 16,866 31.9 3.5 283 86 53,929 3,700 39.1
54 Nagongera GOV 36 5,437 22,754 29 5.33 1,891 9 12 0 11 0 0.0 2 105.8 1,198 9.1 0.2 120 72 47,010 3,003 38.9
55 Kigandalo GOV 48 3,991 33,977 3 0.75 1,013 6 2 3 11 0 3.0 0 0.0 7,540 43.3 1.9 228 10 68,416 1,629 38.7
56 Namokora GOV 62 5,389 28,331 126 23.38 1,286 4 11 10 20 2 9.4 3 233.3 19,580 86.5 3.6 100 257 61,006 3,940 38.7
57 Padibe GOV 92 4,247 23,473 140 32.96 977 15 13 8 37 0 8.2 0 0.0 10,253 30.5 2.4 209 270 48,292 3,721 38.5
58 Anyeke GOV 76 5,762 34,116 118 20.48 1,319 4 14 26 33 0 19.7 1 75.8 14,632 52.7 2.5 212 416 64,326 3,939 38.4
59 Ober GOV 28 2,337 26,640 6 2.57 1,219 4 2 0 5 0 0.0 0 0.0 6,974 67.8 3.0 0 0 58,337 3,822 38.4
60 Kityerera GOV 15 3,660 32,846 5 1.37 1,230 5 7 5 14 0 4.2 0 0.0 5,007 89.5 1.4 172 0 64,284 2,605 38.4
61 Busiu GOV 53 9,508 32,819 73 7.68 2,320 10 15 3 12 0 1.3 1 43.1 28,403 146.8 3.0 403 0 61,603 4,395 38.3
62 Rhino Camp GOV 32 3,869 19,041 64 16.54 1,068 6 8 8 21 1 8.5 2 187.3 7,675 65.4 2.0 244 210 72,116 3,234 38.3
63 Alebtong GOV 59 4,511 36,942 73 16.18 1,599 4 4 4 8 0 2.5 2 125.1 11,158 51.8 2.5 143 273 72,704 3,186 38.0
64 Budondo GOV 50 3,256 17,393 146 44.84 1,092 6 6 0 11 0 0.0 0 0.0 6,513 35.9 2.0 174 112 35,412 2,228 37.6
65 Kalagala GOV 33 4,339 25,629 19 4.38 1,616 5 5 1 7 0 0.6 1 61.9 12,672 104.7 2.9 380 18 40,681 3,278 37.5
66 Kinoni GOV 19 2,097 11,082 3 1.43 904 1 1 0 2 0 0.0 0 0.0 83 1.2 0.0 208 44 20,620 1,617 37.4
S/N
Name
Ownership
No. of beds
No. of admissions
Total OPD
Number of Deaths
Inpatient Mortality
Rate/1000
Deliveries
Fresh still birth
Macerated still birth
Newborn deaths (0-7
days)
Perinatal death/1000
Neonatal Death 8-28
days
Neonatal mortality
rate/1000
Maternal deaths
MMR/100,000
Patient days
BOR
ALOS
Caesarean sections
Blood Units
Total APG
Total DRG
Total Score (%)

67 Mpigi GOV 46 5,477 53,350 5 0.91 2,816 15 25 3 15 0 1.1 1 35.5 8,380 49.9 1.5 735 3 57,393 2,461 37.3
68 Nankoma GOV 48 5,500 23,836 19 3.45 2,013 27 20 12 30 0 6.0 2 99.4 12,381 71.0 2.3 613 0 42,942 5,673 37.3
69 Rugazi GOV 50 4,898 19,681 6 1.22 2,134 10 12 4 12 0 1.9 0 0.0 14,047 77.0 2.9 729 181 29,997 2,885 37.0
70 Semuto GOV 24 4,237 23,165 41 9.68 972 4 8 11 24 0 11.4 0 0.0 8,564 99.5 2.0 205 95 36,334 2,576 37.0
71 Muyembe GOV 29 5,003 16,355 139 27.78 1,619 26 11 2 24 0 1.2 1 61.8 3,926 37.7 0.8 379 369 34,395 3,878 36.9
72 City Medicals PFP 5 201 9,945 7 34.83 76 0 2 0 27 0 0.0 0 0.0 267 13.7 1.3 24 0 9,603 3,287 36.9
73 Orum GOV 35 2,900 18,470 127 43.79 814 7 1 8 20 0 9.9 0 0.0 8,151 63.7 2.8 48 698 43,550 2,965 36.8
74 Lwengo GOV 30 1,970 18,455 5 2.54 947 1 0 0 1 0 0.0 2 211.2 5,693 52.0 2.9 208 140 40,664 1,380 36.8
75 Kihihi GOV 94 5,094 17,893 66 12.96 2,124 17 13 17 22 0 8.1 0 0.0 15,981 46.7 3.1 429 269 33,381 3,728 36.8
76 Bisozi GOV 40 2,116 20,299 0 0.00 476 1 2 0 6 0 0.0 0 0.0 5,093 34.9 2.4 38 0 35,720 1,949 36.7
77 Bugembe GOV 44 3,323 24,299 3 0.90 1,652 1 12 0 8 0 0.0 2 121.1 6,005 37.5 1.8 203 2 47,049 2,003 36.5
78 Ntwetwe GOV 54 3,856 14,560 4 1.04 2,216 17 16 0 15 0 0.0 0 0.0 8,052 40.9 2.1 377 172 30,909 1,573 36.3
79 Amach GOV 38 3,428 27,722 14 4.08 894 0 5 0 6 0 0.0 0 0.0 11,252 80.4 3.3 69 0 64,609 1,291 36.2
80 State House GOV 40 2,669 47,743 32 11.99 1,461 16 7 1 16 0 0.7 0 0.0 7,615 51.7 2.9 483 323 43,347 2,505 36.2
81 Chahafi GOV 31 2,684 17,097 6 2.24 942 3 3 2 8 0 2.1 0 0.0 7,563 66.8 2.8 237 11 27,717 2,949 35.9
82 Buwasa GOV 21 2,220 17,529 6 2.70 978 8 5 0 13 0 0.0 1 102.2 3,292 42.1 1.5 227 15 32,020 2,723 35.9
83 Kasangati GOV 31 4,600 47,768 85 18.48 3,840 15 17 0 8 0 0.0 1 26.0 12,523 110.7 2.7 1,007 0 54,770 2,302 35.8
84 Namwendwa GOV 39 3,793 19,917 10 2.64 1,585 6 17 2 17 0 1.3 0 0.0 8,726 60.8 2.3 227 103 44,241 2,101 35.6
85 Rubare GOV 37 2,778 16,980 8 2.88 1,251 2 5 1 6 0 0.8 0 0.0 5,531 41.0 2.0 130 17 30,250 2,645 35.6
86 Yumbe GOV 48 7,738 32,043 49 6.33 2,809 13 15 7 13 0 2.5 2 71.2 21,715 123.7 2.8 608 302 73,472 1,700 35.6
87 Aboke GOV 32 4,892 27,220 18 3.68 2,129 18 4 7 14 5 5.6 0 0.0 9,010 78.4 1.8 550 0 55,401 2,866 35.6
88 Kapelebyong GOV 82 6,216 22,485 54 8.69 1,095 2 1 4 8 1 5.7 1 91.3 12,108 40.5 1.9 29 160 41,652 3,907 35.5
89 Pajule GOV 42 6,974 21,456 67 9.61 1,514 20 14 4 25 0 2.7 2 132.1 16,656 108.4 2.4 175 276 41,733 3,275 35.4
90 Bugono GOV 30 2,601 23,791 11 4.23 989 4 8 7 19 0 7.0 0 0.0 4,172 38.1 1.6 163 75 55,566 1,801 35.3
91 Kyarusozi GOV 42 4,450 23,296 149 33.48 1,224 8 8 3 16 0 2.5 0 0.0 7,011 45.6 1.6 197 70 43,407 2,214 35.2
92 Buwambo GOV 32 5,294 27,943 4 0.76 1,565 3 3 1 4 1 1.3 0 0.0 11,590 99.2 2.2 214 0 45,909 1,943 35.0
93 Doctors Case Medicals PFP 1 100 13,594 2 20.00 166 0 0 0 0 0 0.0 0 0.0 183 35.4 1.8 9 57 4,598 1,421 34.9
94 Mwera GOV 20 1,325 9,166 0 0.00 368 3 3 0 16 0 0.0 0 0.0 4,230 58.4 3.2 58 34 17,888 655 34.7
95 Kojja GOV 30 2,387 14,347 17 7.12 1,524 8 9 5 14 0 3.3 0 0.0 87 0.8 0.0 474 146 35,021 2,543 34.7
96 Ssembabule GOV 34 4,552 20,692 11 2.42 2,106 15 16 5 17 0 2.4 4 189.9 2,020 16.5 0.4 685 217 40,465 3,324 34.7
97 Mbarara Municipal Council GOV 17 2,908 13,431 0 0.00 2,965 9 14 6 10 0 2.1 0 0.0 5,260 82.7 1.8 425 166 30,825 595 34.7
98 Masindi Military Barracks Health GOV 50 2,715 21,872 9 3.31 247 1 3 0 16 0 0.0 0 0.0 6,989 38.7 2.6 49 104 36,734 1,297 34.6
Centre
99 Kabuyanda GOV 41 3,940 9,312 2 0.51 1,736 18 15 9 24 0 5.2 1 57.6 8,548 57.5 2.2 206 0 19,869 5,085 34.4
100 River Oli GOV 55 4,189 21,798 12 2.86 1,989 10 13 0 12 0 0.0 1 50.3 8,630 43.1 2.1 255 35 47,971 1,583 34.4

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 143

S/N
Name
Ownership
No. of beds
No. of admissions
Total OPD
Number of Deaths
Inpatient Mortality
Rate/1000
Deliveries
Fresh still birth
Macerated still birth
Newborn deaths (0-7
days)
Perinatal death/1000
Neonatal Death 8-28
days
Neonatal mortality
rate/1000
Maternal deaths
MMR/100,000
Patient days
BOR
ALOS
Caesarean sections
Blood Units
Total APG
Total DRG
Total Score (%)

101 Kyanamukaaka GOV 33 1,774 18,514 0 0.00 841 1 2 2 6 0 2.4 0 0.0 3,621 29.9 2.0 108 5 40,691 816 34.3
102 Toroma GOV 44 6,402 18,434 7 1.09 684 0 0 0 0 0 0.0 0 0.0 22,095 137.6 3.5 0 0 40,295 1,579 34.3
103 Kajjansi GOV 18 2,793 46,054 1 0.36 2,096 4 12 2 9 0 0.9 1 47.7 3,540 53.9 1.3 261 0 85,249 611 34.3
104 Kigorobya GOV 30 4,390 29,628 35 7.97 1,384 15 7 0 16 0 0.0 1 72.3 5,614 51.0 1.3 0 28 60,917 2,156 34.3
105 Hamurwa GOV 38 1,961 21,686 20 10.20 1,185 3 3 4 8 0 3.4 0 0.0 7,410 53.8 3.8 220 0 31,738 4,233 33.9
106 Kassanda GOV 24 4,643 20,483 28 6.03 2,819 28 43 7 28 0 2.5 1 35.5 8,525 95.7 1.8 800 704 45,566 2,068 33.8
107 Princess Diana GOV 20 1,991 21,979 18 9.04 1,330 5 4 2 8 0 1.5 0 0.0 123 1.7 0.1 233 720 38,663 1,857 33.7
108 Nyimbwa GOV 25 2,091 18,554 11 5.26 800 1 3 0 5 0 0.0 0 0.0 4,138 44.6 2.0 125 45 28,534 921 33.7
109 Rwashamaire GOV 26 2,840 17,082 78 27.46 1,473 3 4 0 5 0 0.0 0 0.0 3,493 36.8 1.2 96 26 27,350 670 33.6
110 Maziba GOV 33 1,717 14,904 0 0.00 433 4 1 1 14 0 2.3 0 0.0 4,192 34.4 2.4 126 1,344 25,505 1,541 33.6
111 Herona Medical Centre PFP 50 1,270 30,937 8 6.30 484 3 11 0 29 0 0.0 0 0.0 3,164 17.3 2.5 210 16 16,627 2,304 33.4
112 Kakuuto GOV 66 4,216 20,379 53 12.57 1,419 20 21 3 31 0 2.1 0 0.0 7,643 31.7 1.8 409 299 30,219 2,635 33.4
113 Mparo GOV 27 2,988 17,260 23 7.70 847 7 5 7 23 0 8.3 0 0.0 9,197 91.9 3.1 175 3 26,927 2,261 33.3
114 Kanungu GOV 46 3,906 17,029 34 8.70 1,026 1 9 4 14 0 3.9 1 97.5 10,758 64.2 2.8 385 292 28,809 3,747 33.2
115 Bukwo GOV 35 4,000 20,118 60 15.00 1,052 17 9 3 28 0 2.9 3 285.2 7,998 62.6 2.0 187 2 47,218 2,856 33.1
116 Madi-Opei GOV 36 2,407 21,495 53 22.02 514 2 0 3 10 0 5.8 0 0.0 6,091 47.0 2.5 16 124 47,437 1,697 33.1
117 Nakasongola Heath Centre IV GOV 51 4,910 24,887 66 13.44 1,424 9 11 4 17 0 2.8 1 70.2 11,720 62.4 2.4 428 327 33,684 3,369 33.0
118 Omugo GOV 77 4,240 26,889 74 17.45 1,732 18 22 17 34 0 10.0 4 230.9 11,483 41.0 2.7 654 0 61,596 4,281 33.0
119 5th Military Division GOV 33 2,220 12,825 0 0.00 149 0 0 0 0 0 0.0 0 0.0 7,261 60.4 3.3 0 0 23,078 1,494 33.0
120 St. Mary's Kasaala PNFP 60 902 6,836 0 0.00 181 0 0 0 0 0 0.0 0 0.0 1,186 5.4 1.3 42 0 14,973 466 32.9
121 Bukomero GOV 45 4,765 26,412 36 7.56 1,848 15 12 6 18 0 3.3 2 108.2 9,993 61.3 2.1 272 137 50,398 2,511 32.8
122 Masindi Kitara Medical Centre PNFP 63 2,009 20,930 36 17.92 454 6 3 11 44 1 26.6 0 0.0 4,175 18.1 2.1 186 56 29,492 2,966 32.8
123 Rwekubo GOV 65 5,336 12,859 30 5.62 2,949 88 43 14 50 0 4.9 2 67.8 14,544 60.9 2.7 1,413 284 24,836 3,846 32.7
124 St. Theresa Lisieux Rwibaale PNFP 42 3,077 11,473 61 19.82 874 24 12 4 47 0 4.7 0 0.0 6,723 43.9 2.2 440 129 21,600 2,892 32.7
125 Karugutu GOV 67 3,852 20,394 49 12.72 1,547 8 15 6 19 0 3.9 2 129.3 5,619 23.1 1.5 447 187 36,399 3,462 32.6
126 Namayumba GOV 31 4,804 18,824 14 2.91 2,380 14 16 6 15 0 2.6 0 0.0 8,398 73.4 1.7 726 0 39,852 2,608 32.5
127 Kiganda GOV 31 4,175 16,957 21 5.03 2,238 20 25 2 21 0 0.9 2 89.4 9,476 82.6 2.3 576 99 31,590 2,679 32.3
128 Karenga GOV 52 4,462 21,824 64 14.34 470 15 1 3 42 3 13.2 1 212.8 10,287 54.6 2.3 41 49 44,356 3,006 32.1
129 Mitooma GOV 40 3,476 17,107 23 6.62 1,969 9 5 2 8 0 1.0 1 50.8 9,264 64.0 2.7 610 20 32,342 2,693 32.0
130 Abii Clinic Health Centre PFP 7 126 20,542 13 103.17 8 0 0 0 0 0 0.0 0 0.0 99 3.8 0.8 2 8 8,080 148 31.9
131 Kebisoni GOV 36 1,840 16,372 5 2.72 1,305 7 9 0 12 0 0.0 0 0.0 1,486 11.3 0.8 160 281 25,959 354 31.8
132 Kangulumira GOV 63 3,988 31,143 29 7.27 1,713 2 7 9 11 0 5.3 1 58.4 8,014 34.9 2.0 249 244 43,482 2,723 31.8
133 Bubulo GOV 18 2,476 15,852 2 0.81 1,754 11 4 1 9 0 0.6 1 57.0 5,585 83.5 2.3 308 25 39,777 1,153 31.7
134 Kikyo GOV 28 2,765 10,632 8 2.89 535 1 2 0 6 0 0.0 0 0.0 7,613 73.6 2.8 25 0 14,001 2,273 31.6
S/N
Name
Ownership
No. of beds
No. of admissions
Total OPD
Number of Deaths
Inpatient Mortality
Rate/1000
Deliveries
Fresh still birth
Macerated still birth
Newborn deaths (0-7
days)
Perinatal death/1000
Neonatal Death 8-28
days
Neonatal mortality
rate/1000
Maternal deaths
MMR/100,000
Patient days
BOR
ALOS
Caesarean sections
Blood Units
Total APG
Total DRG
Total Score (%)

135 Kibiito GOV 56 5,082 17,394 87 17.12 2,561 19 13 19 20 0 7.4 2 78.1 15,135 74.6 3.0 582 78 34,676 2,934 31.6
136 Kazo GOV 27 2,610 27,211 32 12.26 1,091 8 3 1 11 0 0.9 1 91.7 3,094 31.6 1.2 289 14 52,502 1,462 31.1
137 Ngoma GOV 13 850 18,398 5 5.88 620 3 3 0 10 0 0.0 0 0.0 1,686 35.5 2.0 13 4 31,749 299 31.1
138 Kyazanga GOV 22 2,271 24,203 10 4.40 1,596 16 15 7 24 0 4.5 0 0.0 3,169 39.0 1.4 694 57 24,549 1,799 31.0
139 Mungula GOV 69 2,792 29,194 44 15.76 1,006 5 7 5 17 0 5.1 1 99.4 7,386 29.3 2.6 238 0 68,698 3,285 30.9
140 North Kigezi Health Centre PNFP 47 3,544 8,206 51 14.39 1,044 4 5 9 17 0 8.7 0 0.0 9,404 54.6 2.7 349 3 13,926 2,625 30.9
141 Bushenyi GOV 36 3,306 25,185 12 3.63 1,764 3 6 3 7 0 1.7 0 0.0 1,131 8.6 0.3 432 18 26,206 1,295 30.6
142 Hiima UCI PNFP 10 145 4,149 0 0.00 1 0 0 0 0 0 0.0 0 0.0 314 8.3 2.2 0 0 3,688 2,249 30.6
143 Rwebisengo GOV 21 1,873 12,292 10 5.34 440 4 3 1 19 2 6.9 0 0.0 3,898 50.9 2.1 49 2 22,681 1,930 30.5
144 St. Franciscan PNFP 21 1,128 6,348 20 17.73 289 4 6 0 36 0 0.0 0 0.0 1,831 23.9 1.6 107 258 9,207 1,385 30.4
145 Ishongororo GOV 71 4,047 23,138 39 9.64 1,463 6 17 3 18 0 2.1 0 0.0 8,248 31.9 2.0 227 206 43,420 1,073 30.2
146 Rugaaga GOV 29 2,988 13,162 41 13.72 977 3 6 7 16 1 8.2 0 0.0 6,478 62.3 2.2 118 50 27,618 1,485 30.1
147 Span Medicare PFP 7 224 24,151 11 49.11 90 0 0 0 0 0 0.0 0 0.0 88 3.5 0.4 48 0 19,113 540 29.9
148 Bondo GOV 4 1,048 11,698 0 0.00 618 0 3 0 5 0 0.0 0 0.0 1,037 71.0 1.0 0 0 29,199 162 29.9
149 Kitwe GOV 46 4,367 18,494 121 27.71 1,642 7 8 6 13 0 3.7 0 0.0 9,180 54.2 2.1 161 97 31,453 1,256 29.8
150 Michoes Medical PFP 32 1,046 1,698 22 21.03 141 0 0 0 0 0 0.0 0 0.0 5,381 45.7 5.1 107 0 2,213 1,887 29.8
151 Atiak GOV 19 1,964 18,922 18 9.16 415 7 2 3 29 0 7.3 0 0.0 5,163 73.2 2.6 37 77 37,380 910 29.8
152 Kalaki GOV 24 3,883 31,567 6 1.55 818 2 0 2 5 0 2.4 0 0.0 8,507 98.5 2.2 0 0 68,931 1,295 29.8
153 Buliisa GOV 36 2,156 13,873 2 0.93 520 0 0 0 0 1 1.9 0 0.0 3,685 28.4 1.7 0 0 27,257 2,746 29.8
154 Bukuku GOV 38 2,066 14,732 3 1.45 847 1 3 1 6 0 1.2 0 0.0 4,119 29.7 2.0 181 27 24,978 1,184 29.7
155 Bukulula GOV 22 2,084 14,331 4 1.92 1,573 8 16 0 15 0 0.0 2 127.1 2,827 35.2 1.4 565 64 21,512 1,302 29.7
156 Warr GOV 26 2,429 27,800 12 4.94 726 7 4 2 18 0 2.8 1 137.7 5,380 57.4 2.2 119 86 56,744 1,330 29.7
157 Sikyomu Doctors Medical Centre PFP 15 629 16,752 141 224.17 195 3 1 0 21 0 0.0 0 0.0 1,165 21.5 1.9 48 170 17,286 876 29.6
158 Nyamirami GOV 27 2,604 14,140 5 1.92 997 7 0 0 8 0 0.0 0 0.0 6,558 67.4 2.5 299 0 27,764 997 29.5
159 Bugangari GOV 20 1,863 19,392 0 0.00 1,236 5 6 1 10 0 0.8 2 161.8 3,726 50.8 2.0 325 20 28,503 756 29.1
160 Bwijanga GOV 29 2,238 10,249 8 3.57 1,215 9 22 1 27 0 0.8 1 82.3 3,378 32.5 1.5 82 13 19,954 2,568 28.9
161 Biiso GOV 21 2,202 22,236 19 8.63 659 3 1 2 10 0 3.4 1 151.7 2,794 36.5 1.3 2 2 56,375 913 28.9
162 Sebbi Medical PFP 99 2,133 36,819 37 17.35 623 0 1 2 5 0 3.2 0 0.0 216 0.6 0.1 335 0 11,573 3,162 28.8
163 Kamukira GOV 35 2,547 28,785 17 6.67 992 1 0 4 5 0 4.0 0 0.0 5,793 45.3 2.3 210 0 47,069 1,549 28.5
164 Maddu GOV 40 1,743 15,066 8 4.59 858 0 4 2 7 0 2.3 0 0.0 3,285 22.5 1.9 41 143 27,901 1,082 28.3
165 Kaserem GOV 20 1,616 11,510 2 1.24 617 1 4 0 8 0 0.0 0 0.0 484 6.5 0.3 21 0 19,721 762 27.9
166 Kakomo GOV 13 585 11,801 4 6.84 332 0 0 0 0 0 0.0 0 0.0 864 18.4 1.5 0 24 18,148 106 27.7
167 Kabwohe GOV 47 4,644 22,700 73 15.72 2,199 11 11 5 12 0 2.3 1 45.5 10,206 59.0 2.2 237 12 36,989 1,350 27.6
168 Rubuguri GOV 38 1,260 19,716 5 3.97 603 4 0 0 7 0 0.0 0 0.0 2,543 18.3 2.0 117 0 29,528 1,020 27.6

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 145

S/N
Name
Ownership
No. of beds
No. of admissions
Total OPD
Number of Deaths
Inpatient Mortality
Rate/1000
Deliveries
Fresh still birth
Macerated still birth
Newborn deaths (0-7
days)
Perinatal death/1000
Neonatal Death 8-28
days
Neonatal mortality
rate/1000
Maternal deaths
MMR/100,000
Patient days
BOR
ALOS
Caesarean sections
Blood Units
Total APG
Total DRG
Total Score (%)

169 Ruhoko GOV 45 2,901 11,855 64 22.06 1,510 5 9 4 12 0 2.7 0 0.0 5,114 31.1 1.8 205 237 20,389 1,261 27.6
170 St. Joseph Of the Good PNFP 73 3,263 9,283 57 17.47 938 8 17 9 37 0 9.8 0 0.0 9,177 34.4 2.8 293 170 9,268 2,242 27.6
171 Kamwezi GOV 33 1,917 14,793 10 5.22 578 1 9 1 19 0 1.7 0 0.0 6,147 51.6 3.2 124 2 25,770 1,000 27.6
172 St. Francis Health Care Services PNFP 104 1,720 7,155 3 1.74 749 4 1 1 8 0 1.3 0 0.0 2,936 7.7 1.7 201 125 12,150 1,434 27.3
173 Buyinja GOV 31 4,342 25,165 35 8.06 1,258 20 12 9 33 0 7.3 2 159.0 7,722 67.7 1.8 198 164 42,414 1,137 27.3
174 Arahmah Medical Centre PNFP 13 831 5,152 5 6.02 36 0 0 0 0 0 0.0 0 0.0 2,286 48.2 2.8 4 0 8,126 481 27.3
175 Ultra Medical Centre PFP 7 58 7,672 2 34.48 46 0 0 0 0 0 0.0 0 0.0 33 1.3 0.6 4 0 12,191 85 27.3
176 Kiruhura GOV 31 2,362 14,712 14 5.93 1,326 5 0 0 4 0 0.0 1 75.4 5,121 45.5 2.2 246 0 30,733 1,625 27.3
177 Lodonga PNFP 69 2,544 6,813 12 4.72 909 3 1 1 5 0 1.1 0 0.0 6,797 27.0 2.7 142 0 29,668 2,134 27.1
178 Nyamuyanja GOV 35 1,705 11,218 6 3.52 601 1 1 0 3 0 0.0 0 0.0 5,061 39.3 3.0 14 0 22,529 812 27.1
179 Dokolo GOV 74 7,052 33,596 192 27.23 1,854 15 17 16 26 0 8.6 2 107.9 32,220 119.2 4.6 209 782 60,942 92 26.8
180 St. Andrews Bkira Maria PNFP 75 3,258 9,812 52 15.96 881 11 7 8 30 0 9.2 1 113.5 5,264 19.2 1.6 347 237 16,903 2,805 26.7
181 Kibaale GOV 54 3,332 12,402 60 18.01 2,026 35 35 19 44 0 9.5 1 49.4 6,933 35.2 2.1 516 224 31,318 1,891 26.6
182 Bwizibwera GOV 37 3,668 17,658 63 17.18 1,683 13 10 6 17 0 3.6 1 59.4 10,301 76.8 2.8 513 227 30,048 1,437 26.6
183 Orient Medical Centre PNFP 9 502 4,400 13 25.90 69 1 0 0 15 0 0.0 0 0.0 720 20.9 1.4 21 68 2,336 360 26.5
184 Bugolobi Medical Centre PFP 19 571 29,332 6 10.51 107 0 1 0 9 0 0.0 0 0.0 240 3.5 0.4 43 0 16,896 893 26.5
185 Nsiika GOV 25 2,504 13,950 28 11.18 1,397 10 9 2 15 0 1.4 0 0.0 4,537 49.4 1.8 182 0 23,266 1,977 26.5
186 Kabubbu PNFP 29 1,509 14,584 12 7.95 817 2 14 2 22 0 2.5 0 0.0 361 3.4 0.2 159 4 19,791 717 26.5
187 UPDF 2nd Div. GOV 40 1,725 12,621 6 3.48 288 2 2 1 17 0 3.5 0 0.0 2,089 14.2 1.2 21 0 21,479 2,161 26.3
188 Namulundu Medical PFP 20 470 7,259 75 159.57 108 0 0 0 0 0 0.0 0 0.0 1,390 19.5 3.0 24 0 6,985 713 26.1
189 Buwenge GOV 37 3,555 16,453 4 1.13 951 7 4 6 18 0 6.3 0 0.0 5,808 43.4 1.6 116 0 34,133 1,114 26.1
190 Rwesande PNFP 56 2,887 5,482 73 25.29 606 12 9 6 46 0 10.3 1 165.0 8,694 42.8 3.0 289 137 13,039 2,938 26.0
191 Kaproron GOV 30 3,151 13,356 46 14.60 776 6 5 0 14 3 3.9 0 0.0 4,703 42.6 1.5 29 0 24,314 1,836 26.0
192 Mpumudde GOV 15 2,048 23,662 12 5.86 1,155 0 7 2 8 0 1.7 0 0.0 4,510 84.2 2.2 27 0 32,904 810 25.8
193 Osepadel Medical Centre PNFP 28 200 1,272 12 60.00 19 0 0 0 0 0 0.0 0 0.0 119 1.2 0.6 6 0 2,058 126 25.8
194 Rukungiri GOV 23 1,603 18,762 6 3.74 710 0 0 0 0 0 0.0 0 0.0 3,564 42.1 2.2 0 0 26,232 590 25.7
195 Kiwangala GOV 27 1,271 19,793 35 27.54 848 2 3 0 6 0 0.0 2 235.8 1,928 19.6 1.5 200 1 22,779 506 25.7
196 Senta Medicare PFP 15 105 3,644 18 171.43 79 0 0 0 0 0 0.0 0 0.0 60 1.1 0.6 13 0 2,777 66 25.7
197 Kitante Medical Centre PFP 3 102 16,515 2 19.61 11 0 0 0 0 0 0.0 0 0.0 428 38.0 4.2 0 32 8,031 219 25.1
198 Benedict Health Centre PNFP 67 646 18,245 12 18.58 282 4 1 0 18 0 0.0 2 709.2 1,423 5.8 2.2 104 83 20,008 1,186 25.0
199 Ruteete GOV 7 185 11,799 0 0.00 234 0 1 0 4 0 0.0 0 0.0 204 7.6 1.1 0 0 23,408 10 24.9
200 Kikuube GOV 30 2,235 13,514 16 7.16 1,348 5 6 6 13 0 4.5 1 74.2 3,911 36.3 1.7 233 19 27,655 1,314 24.9
201 Padre Pio PNFP 43 1,710 4,886 12 7.02 406 0 4 6 25 0 14.7 0 0.0 5,201 33.0 3.0 99 89 12,736 1,247 24.9
202 Ntara GOV 44 3,327 19,683 40 12.02 1,372 5 9 3 12 0 2.2 1 72.9 9,064 56.4 2.7 285 0 38,242 2,268 24.8
S/N
Name
Ownership
No. of beds
No. of admissions
Total OPD
Number of Deaths
Inpatient Mortality
Rate/1000
Deliveries
Fresh still birth
Macerated still birth
Newborn deaths (0-7
days)
Perinatal death/1000
Neonatal Death 8-28
days
Neonatal mortality
rate/1000
Maternal deaths
MMR/100,000
Patient days
BOR
ALOS
Caesarean sections
Blood Units
Total APG
Total DRG
Total Score (%)

203 Lamu Medical Centre PFP 6 185 705 1 5.41 50 0 1 0 22 0 0.0 0 0.0 373 16.4 2.0 31 15 439 232 24.7
204 Rubaya GOV 29 1,256 17,810 4 3.18 699 1 2 1 6 1 2.8 0 0.0 1,341 12.7 1.1 73 0 25,798 1,052 24.6
205 Kyantungo GOV 27 1,954 15,452 2 1.02 449 1 5 4 22 0 8.9 0 0.0 5,156 52.3 2.6 104 0 30,116 1,041 24.5
206 Wakiso GOV 29 7,019 33,371 306 43.60 4,159 31 28 9 17 0 2.2 2 48.1 15,359 145.5 2.2 1,042 0 54,159 547 24.5
207 Kyadondo Medical Centre PFP 53 1,214 6,170 22 18.12 178 0 2 0 11 0 0.0 0 0.0 1,941 10.1 1.6 47 0 5,141 1,349 24.4
208 Kolonyi PNFP 57 1,420 9,709 26 18.31 221 1 11 0 56 0 0.0 1 452.5 4,178 20.1 2.9 83 117 12,546 1,252 24.0
209 Kyetume CBHC PNFP 41 909 5,320 12 13.20 195 0 1 0 5 0 0.0 1 512.8 1,486 9.9 1.6 33 7 11,340 673 23.9
210 Ntuusi GOV 24 1,131 9,826 1 0.88 800 1 1 1 4 0 1.3 0 0.0 2,015 23.2 1.8 237 0 16,087 935 23.7
211 Shuuku GOV 32 2,129 11,827 15 7.05 948 0 1 3 4 0 3.2 0 0.0 4,815 41.2 2.3 78 0 22,736 1,098 23.3
212 Ssekanyonyi GOV 18 1,818 18,912 1 0.55 737 1 2 1 5 0 1.4 1 135.7 3,632 55.3 2.0 74 0 37,748 611 23.3
213 Henrob Family Clinic PFP 38 1,673 17,996 93 55.59 530 2 8 1 21 0 1.9 1 188.7 309 2.3 0.2 244 5 22,500 1,047 23.2
214 Adumi GOV 32 2,504 21,624 237 94.65 942 1 9 1 12 0 1.1 1 106.2 5,161 44.2 2.1 216 0 43,529 1,172 22.2
215 St. Luke Namaliga PNFP 36 1,168 6,011 13 11.13 254 1 0 3 16 1 15.8 0 0.0 2,846 21.7 2.4 67 53 12,104 491 22.2
216 Wagagai PFP 19 780 24,104 1 1.28 145 1 1 2 29 0 14.3 0 0.0 1,649 23.8 2.1 47 21 12,103 3 22.0
217 Bbosa Medical Centre PFP 9 529 8,687 48 90.74 129 5 2 0 59 0 0.0 0 0.0 1,436 42.9 2.7 40 0 5,336 603 21.9
218 Magale (UCMB) PNFP 83 2,085 5,932 75 35.97 728 28 11 6 65 0 8.6 1 137.4 4,856 16.0 2.3 217 141 14,784 1,813 21.8
219 Bukwo NGO PNFP 33 818 3,910 2 2.44 261 1 1 0 8 0 0.0 0 0.0 2,088 17.3 2.6 2 0 9,993 301 21.8
220 St. Francis (Mityana) PNFP 16 404 5,413 2 4.95 151 0 1 0 8 0 0.0 0 0.0 848 14.7 2.1 25 0 6,903 447 21.7
221 Buhunga GOV 18 1,552 14,436 28 18.04 1,345 2 2 2 4 0 1.5 0 0.0 3,844 58.2 2.5 129 0 21,805 324 21.5
222 St. Mary's Kakindo PNFP 29 1,609 2,295 15 9.32 672 14 11 12 57 0 18.4 0 0.0 5,589 52.8 3.5 293 0 6,824 1,815 21.4
223 Azur PNFP 73 1,946 4,006 18 9.25 804 7 8 2 21 0 2.5 1 124.4 4,139 15.5 2.1 204 117 9,237 1,654 21.2
224 Red Rose PFP 19 1,293 7,648 10 7.73 432 6 7 7 47 0 16.5 0 0.0 1,208 17.7 0.9 167 0 6,117 1,056 20.7
225 Holy Cross - Kikyusa PNFP 26 1,114 6,611 14 12.57 346 3 2 1 17 1 5.8 1 289.0 2,575 27.4 2.3 108 86 11,525 1,371 20.6
226 Kalangala GOV 45 1,307 14,254 12 9.18 670 16 9 3 45 0 4.8 3 447.8 3,417 20.8 2.6 238 9 21,865 1,105 20.6
227 Hope PFP 14 123 889 9 73.17 34 0 0 0 0 0 0.0 0 0.0 65 1.3 0.5 0 0 1,776 37 20.5
228 Busanza GOV 15 808 13,888 1 1.24 249 1 2 0 12 0 0.0 0 0.0 1,669 30.5 2.1 0 0 20,281 446 20.3
229 Ntungamo GOV 27 2,076 21,073 6 2.89 971 0 3 1 4 0 1.0 0 0.0 976 9.9 0.5 0 0 25,031 778 19.9
230 Muko GOV 34 1,638 21,421 19 11.60 1,130 4 3 2 8 0 1.7 1 88.5 4,810 38.9 2.9 356 0 31,686 1,254 19.8
231 Maracha GOV 9 1,240 20,761 42 33.87 582 0 4 2 10 0 3.5 0 0.0 2,609 78.0 2.1 0 0 43,070 189 19.5
232 Bugamba GOV 25 1,162 10,338 6 5.16 692 3 0 1 6 0 1.4 0 0.0 2,529 28.3 2.2 39 0 20,539 131 19.4
233 Palabek-Kal GOV 22 1,785 17,303 9 5.04 410 3 4 2 22 0 4.9 0 0.0 3,993 49.7 2.2 0 0 35,815 909 19.0
234 Saidina Abubakar Islamic Hospital PNFP 52 676 9,692 6 8.88 236 1 1 2 17 0 8.3 1 423.7 1,133 6.0 1.7 87 210 14,106 837 19.0
235 Mother Francisca Lechner PNFP 17 868 4,317 2 2.30 379 2 1 2 13 0 5.2 1 263.9 2,679 42.1 3.1 145 160 9,219 530 18.4
236 Bukuya GOV 8 1,426 13,690 3 2.10 1,659 1 12 2 9 0 1.2 0 0.0 3,244 114.7 2.3 0 0 24,133 51 18.4
237 Midas Torch PFP 28 912 5,862 62 67.98 194 8 6 0 93 0 0.0 2 1,030.9 1,578 15.7 1.7 120 0 6,391 1,038 18.2

ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24 147

S/N
Name
Ownership
No. of beds
No. of admissions
Total OPD
Number of Deaths
Inpatient Mortality
Rate/1000
Deliveries
Fresh still birth
Macerated still birth
Newborn deaths (0-7
days)
Perinatal death/1000
Neonatal Death 8-28
days
Neonatal mortality
rate/1000
Maternal deaths
MMR/100,000
Patient days
BOR
ALOS
Caesarean sections
Blood Units
Total APG
Total DRG
Total Score (%)

238 St. Mary's Kalule PNFP 39 1,003 2,519 13 12.96 144 3 3 5 76 0 34.7 0 0.0 2,636 18.5 2.6 34 0 5,689 975 17.1
239 Medik PFP 9 139 749 0 0.00 158 0 0 3 19 0 18.8 1 632.9 82 2.5 0.6 62 0 1,162 262 16.6
240 St. Luke PNFP 28 727 3,295 7 9.63 199 2 1 1 19 0 4.7 0 0.0 1,980 19.4 2.7 74 0 7,667 511 16.3
241 Mpungu GOV 12 533 13,019 3 5.63 241 3 1 1 22 0 4.3 0 0.0 1,116 25.5 2.1 0 0 21,715 406 14.1
242 St. Ambrose Charity PFP 55 1,280 4,768 43 33.59 261 13 12 1 110 0 4.2 2 766.3 2,788 13.9 2.2 143 0 5,480 1,441 13.9
243 Kiyumba GOV 11 714 7,850 3 4.20 550 3 6 2 20 1 5.5 1 181.8 1,546 38.5 2.2 192 0 10,507 507 13.7
244 Rugyeyo GOV 23 533 10,899 4 7.50 265 1 0 0 4 9 34.2 0 0.0 2,191 26.7 4.1 0 0 18,801 333 13.4
245 Bukasa GOV 16 358 18,590 5 13.97 115 0 0 1 9 1 17.4 1 869.6 1,062 18.2 3.0 0 2 27,985 151 13.3
246 K.T Medical Centre PFP 0 0 3,787 0 #DIV/0! 67 1 0 1 29 0 14.7 0 0.0 0 #DIV/0! 0.0 0 0 3,093 5,148 NR
247 Mulanda GOV 22 1,972 26,146 6 3.04 1,472 7 3 5 10 0 3.4 0 0.0 0 0.0 0.0 25 0 43,188 1,444 NR
248 Ndejje GOV 16 3,098 28,200 0 0.00 2,882 1 6 0 2 0 0.0 1 34.7 0 0.0 0.0 386 0 80,287 938 NR
249 Moyo Mission PNFP 36 1,361 3,781 0 0.00 202 0 0 0 0 0 0.0 0 0.0 3,163 24.2 2.3 8 0 8,070 888 NR
250 Nabiswera GOV 14 1,084 9,733 0 0.00 517 3 8 2 25 0 3.9 0 0.0 1,603 30.5 1.5 110 0 19,188 614 NR
251 Kataraka GOV 5 372 13,622 0 0.00 338 1 0 0 3 0 0.0 0 0.0 197 10.8 0.5 0 0 24,866 8 NR
252 Astu GOV 0 0 13,376 0 #DIV/0! 0 0 0 0 0 0 0.0 0 0.0 0 #DIV/0! 0.0 0 0 25,485 NR
253 Frost Hospital PFP 0 0 12,716 0 #DIV/0! 57 0 0 0 0 0 0.0 0 0.0 0 #DIV/0! 0.0 0 0 7,533 NR
254 Kachumbala GOV 0 0 17,789 0 #DIV/0! 1,429 2 2 0 3 0 0.0 0 0.0 0 #DIV/0! 0.0 0 0 41,248 NR
255 Kairos Medical Centre PFP 0 0 5,675 0 #DIV/0! 51 0 0 0 0 0 0.0 1 1,960.8 0 #DIV/0! 0.0 0 0 4,294 NR
256 Karita GOV 1 0 22,372 0 #DIV/0! 622 4 6 1 18 0 1.6 0 0.0 0 0.0 0.0 0 0 48,508 NR
257 Midas Touch PFP 0 0 75 0 #DIV/0! 2 0 0 0 0 0 0.0 0 0.0 0 #DIV/0! 0.0 0 0 183 NR
258 Musana Community PFP 0 0 1,694 0 #DIV/0! 38 0 0 0 0 0 0.0 0 0.0 0 #DIV/0! 0.0 0 0 1,308 NR
259 Naguru Police GOV 0 0 34,785 0 #DIV/0! 0 0 0 0 0 0 0.0 0 0.0 0 #DIV/0! 0.0 0 0 38,743 NR
260 Naluvule Medical PFP 0 0 1,536 0 #DIV/0! 46 0 0 0 0 0 0.0 0 0.0 0 #DIV/0! 0.0 0 0 2,227 NR
261 Nsambya Police GOV 0 0 45,875 0 #DIV/0! 725 0 0 1 1 0 1.4 0 0.0 0 #DIV/0! 0.0 0 0 52,421 NR
262 Pearl Medical Centre PFP 0 0 2,041 0 #DIV/0! 182 0 0 1 5 0 5.1 0 0.0 0 #DIV/0! 0.0 0 0 1,845 NR
263 Platinum Medical Centre PFP 0 0 27,430 0 #DIV/0! 38 0 0 0 0 0 0.0 0 0.0 0 #DIV/0! 0.0 0 0 13,116 NR
264 Salaama Memorial Medical PFP 0 0 2,756 0 #DIV/0! 165 0 0 0 0 0 0.0 1 606.1 0 #DIV/0! 0.0 NR 0 756 NR
265 SAS Clinic PFP 0 0 4,341 0 #DIV/0! 0 0 0 0 0 0 0.0 0 0.0 0 #DIV/0! 0.0 NR 0 4,778 NR
266 Social Doctors PFP 0 0 885 0 #DIV/0! 191 0 0 1 6 0 6.0 0 0.0 0 #DIV/0! 0.0 0 110 1,851 NR
267 Spring Medicare PFP 0 0 4,314 0 #DIV/0! 223 1 0 0 5 0 0.0 0 0.0 0 #DIV/0! 0.0 0 0 5,858 NR
268 Victoria Medical Services PFP 0 0 9,858 217 #DIV/0! 86 0 0 0 0 0 0.0 0 0.0 0 #DIV/0! 0.0 0 0 6,516 NR
269 Wanda Matugga PNFP 0 0 3,676 0 #DIV/0! 214 3 1 1 23 0 4.5 0 0.0 0 #DIV/0! 0.0 0 0 5,081 NR
Total 9,962 851,147 5,227,109 10,020 1.2 311,873 1,886 1,931 829 15 47 2.8 142 46 1,877,438 52 2.2 62,865 735,686 9,353,101 623,062
5.5 HC IV FUNCTIONALITY BASED ON PROVISION OF CEMNOC IN
FY 2023/24
S/N LG Health facility Ownership Deliveries Caesarean Transfusion
sections Done
1. Kampala Kisenyi GOV 8,844 2,128 YES
2. Kampala Kawaala GOV 8,167 1,873 NO
3. Kikuube Kyangwali GOV 3,595 1,602 YES
4. Kyegegwa Bujubuli GOV 4,879 1,459 YES
5. Isingiro Rwekubo GOV 2,949 1,413 YES
6. Kasese Rukoki GOV 3,318 1,122 YES
7. Wakiso Wakiso GOV 4,159 1,042 YES
8. Wakiso Kasangati GOV 3,840 1,007 NO
9. Serere Serere GOV 2,533 996 YES
10. Sironko Budadiri GOV 3,446 843 YES
11. Kakumiro Kakindo GOV 3,122 837 YES
12. Kassanda Kassanda GOV 2,819 800 YES
13. Budaka Budaka GOV 3,705 748 YES
14. Kamwenge Rwamwanja GOV 3,793 747 YES
15. Mpigi Mpigi GOV 2,816 735 YES
16. Rubirizi Rugazi GOV 2,133 729 YES
17. Wakiso Namayumba GOV 2,380 726 NO
18. Lwengo Kyazanga GOV 1,596 694 YES
19. Sembabule Ssembabule GOV 2,106 685 YES
20. Terego Omugo GOV 1,732 654 YES
21. Kakumiro Kakumiro GOV 2,650 650 YES
22. Bugiri Nankoma GOV 2,013 613 YES
23. Mitooma Mitooma GOV 1,969 610 YES
24. Yumbe Yumbe GOV 2,809 608 YES
25. Mayuge Mayuge GOV 2,702 594 YES
26. Bunyangabu Kibiito GOV 2,561 582 YES
27. Kiryandongo Panyadoli GOV 3,131 581 YES
28. Kassanda Kiganda GOV 2,238 576 YES
29. Kalungu Bukulula GOV 1,573 565 YES
30. Kwania Aduku GOV 2,118 556 YES
31. Kole Aboke GOV 2,129 550 YES
32. Kibaale Kibaale GOV 2,026 516 YES
33. Mbarara Bwizibwera GOV 1,683 513 YES
34. Ngora Ngora GOV 1,514 499 YES
35. Bushenyi Kyabugimbi GOV 2,373 483 YES
36. Wakiso State House GOV 1,461 483 YES
37. Mukono Kojja GOV 1,524 474 YES
38. Ntoroko Karugutu GOV 1,547 447 YES
39. Kyenjojo St. Theresa Lisieux Rwibaale PNFP 874 440 YES
40. Bushenyi Bushenyi GOV 1,764 432 YES
41. Kanungu Kihihi GOV 2,124 429 YES
42. Nakasongola Nakasongola GOV 1,424 428 NO
43. Mbarara City Mbarara Municipal Council GOV 2,965 425 YES
44. Manafwa Bugobero GOV 2,095 421 YES
45. Kyotera Kakuuto GOV 1,419 409 YES

MINISTRY OF HEALTH 149

S/N LG Health facility Ownership Deliveries Caesarean Transfusion
sections Done
46. Bukomansimbi Butenga GOV 1,765 408 YES
47. Mbale Busiu GOV 2,320 403 YES
48. Wakiso Ndejje GOV 2,882 386 NO
49. Goli PNFP 1,208 385 YES
50. Kanungu GOV 1,026 385 YES
51. Luwero Kalagala GOV 1,616 380 YES
52. Bulambuli Muyembe GOV 1,619 379 YES
53. Kyankwanzi Ntwetwe GOV 2,216 377 YES
54. Bundibugyo Busaru PNFP 714 369 YES
55. Kaliro Bumanya GOV 1,226 364 YES
56. Rubanda Muko GOV 1,130 356 NO
57. Namutumba Nsinze GOV 1,557 356 YES
58. Kibuku Kibuku GOV 1,737 352 YES
59. Soroti Tiriri GOV 1,137 351 NO
60. Rukungiri North Kigezi PNFP 1,044 349 YES
61. Bukedea Bukedea GOV 1,476 347 YES
62. Kyotera St. Andrews Bkira Maria PNFP 881 347 YES
63. Wakiso Sebbi Medical PFP 623 335 YES
64. Bugweri Busesa GOV 1,886 331 YES
65. Rukungiri Bugangari GOV 1,236 325 YES
66. Manafwa Bubulo GOV 1,754 308 YES
67. Mbale City Bufumbo GOV 1,348 299 YES
68. Kasese Nyamirami GOV 997 299 NO
69. Busia Busia GOV 2,991 298 YES
70. Kalungu St. Joseph Of the Good Shepherd PNFP 938 293 YES
71. Kakumiro St. Mary's Kakindo PNFP 672 293 YES
72. Kazo Kazo GOV 1,091 289 YES
73. Kasese Rwesande PNFP 606 289 YES
74. Butebo Butebo GOV 1,668 285 YES
75. Kitagwenda Ntara GOV 1,372 285 YES
76. Yumbe Midigo GOV 1,215 283 YES
77. Kiboga Bukomero GOV 1,848 272 YES
78. Luuka Kiyunga GOV 1,755 266 YES
79. Wakiso Kajjansi GOV 2,096 261 NO
80. Arua City River Oli GOV 1,989 256 YES
81. Kayunga Kangulumira GOV 1,713 249 YES
82. Kiruhura Kiruhura GOV 1,326 246 NO
83. Wakiso Henrob Family Clinic PFP 530 244 YES
84. Madi-Okollo Rhino Camp GOV 1,068 244 YES
85. Kalangala Kalangala GOV 670 238 YES
86. Kumi Kumi GOV 1,745 238 NO
87. Adjumani Mungula GOV 1,006 238 YES
88. Kisoro Chahafi GOV 942 237 NO
89. Sheema Kabwohe GOV 2,199 237 YES
90. Sembabule Ntuusi GOV 800 237 NO
91. Kikuube Kikuube GOV 1,348 233 YES
92. Soroti City Princess Diana GOV 1,330 233 YES
93 Mayuge Kigandalo GOV 1,013 228 NO

150 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

S/N LG Health facility Ownership Deliveries Caesarean Transfusion
sections Done
94. Sironko Buwasa GOV 978 227 YES
95. Ibanda Ishongororo GOV 1,463 227 YES
96. Kamuli Namwendwa GOV 1,585 227 YES
97. Rubanda Hamurwa GOV 1,185 220 NO
98. Bundibugyo Nyahuka GOV 1,836 220 YES
99. Namisindwa Magale (UCMB) PNFP 728 217 YES
100. Arua City Adumi GOV 942 216 NO
101. Wakiso Buwambo GOV 1,565 214 NO
102. Serere Apapai GOV 1,010 213 YES
103. Buyende Kidera GOV 1,831 213 YES
104. Pakwach Pakwach GOV 1,516 213 YES
105. Oyam Anyeke GOV 1,319 212 YES
106. Mukono Herona Medical Centre PFP 484 210 YES
107. Kabale Kamukira GOV 992 210 YES
108. Dokolo Dokolo GOV 1,854 209 YES
109. Lamwo Padibe GOV 977 209 YES
110. Rwampara Kinoni GOV 904 208 YES
111. Lwengo Lwengo GOV 947 208 YES
112. Lira Ogur GOV 1,416 208 YES
113. Isingiro Kabuyanda GOV 1,736 206 YES
114. Ibanda Ruhoko GOV 1,510 205 YES
115. Nakaseke Semuto GOV 972 205 YES
116. Hoima City Azur PNFP 804 204 YES
117. Jinja City Bugembe GOV 1,652 203 YES
118. Buikwe St. Francis Health Care Services PNFP 749 201 YES
119. Lwengo Kiwangala GOV 848 200 YES
120. Namayingo Buyinja GOV 1,258 198 YES
121. Kyenjojo Kyarusozi GOV 1,224 197 YES
122. Masaka City Kiyumba GOV 550 192 NO
123. Bukwo Bukwo GOV 1,052 187 YES
124. Masindi Masindi Kitara Medical Centre PNFP 454 186 YES
125. Buhweju Nsiika GOV 1,397 182 YES
126. Fort Portal City Bukuku GOV 847 181 YES
127. Kamuli Nankandulo GOV 887 177 YES
128. Obongi Obongi GOV 805 176 YES
129. Rukiga Mparo GOV 847 175 YES
130. Pader Pajule GOV 1,514 175 YES
131. Jinja City Budondo GOV 1,092 174 NO
132. Mayuge Kityerera GOV 1,230 172 YES
133. Kassanda Red Rose PFP 432 167 YES
134. Iganga Bugono GOV 989 163 YES
135. Ntungamo Kitwe GOV 1,642 161 YES
136. Rukungiri Kebisoni GOV 1,305 160 NO
137. Wakiso Kabubbu PNFP 817 159 YES
138. Ntungamo Mother Francisca Lechner PNFP 379 145 YES
139. Alebtong Alebtong GOV 1,599 143 YES
140. Kagadi St. Ambrose Charity PFP 261 143 YES
141. Yumbe Lodonga PNFP 909 142 YES

MINISTRY OF HEALTH 151

S/N LG Health facility Ownership Deliveries Caesarean Transfusion
sections Done
142. Mbale City Namatala GOV 1,894 142 YES
143. Ntungamo Rubare GOV 1,251 130 YES
144. Rukungiri Buhunga GOV 1,345 129 NO
145. Kabale Maziba GOV 433 126 NO
146. Luwero Nyimbwa GOV 800 125 YES
147. Rukiga Kamwezi GOV 578 124 YES
148. Kyenjojo Midas Torch PFP 194 120 YES
149. Tororo Nagongera GOV 1,891 120 YES
150. Zombo Warr GOV 726 119 YES
151. Isingiro Rugaaga GOV 977 118 YES
152. Kisoro Rubuguri GOV 603 117 NO
153. Jinja Buwenge GOV 951 116 NO
154. Nakasongola Nabiswera GOV 517 110 NO
155. Luwero Holy Cross - Kikyusa PNFP 346 108 YES
156. Masaka Kyanamukaaka GOV 841 108 NO
157. Kumi Michoes Medical PFP 141 107 YES
158. Nakasongola St. Franciscan PNFP 289 107 YES
159. Kampala Benedict PNFP 282 104 YES
160. Mityana Kyantungo GOV 449 104 NO
161. Kitgum Namokora GOV 1,286 100 YES
162. Kamwenge Padre Pio PNFP 406 99 YES
163. Kayunga Bbaale GOV 966 96 YES
164. Ntungamo Rwashamaire GOV 1,473 96 NO
165. Buvuma Buvuma GOV 969 95 YES
166. Tororo Mukuju GOV 1,507 95 YES
167. Wakiso Saidina Abubakar Islamic Hospital PNFP 236 87 YES
168. Amolatar Amolatar GOV 1,347 85 YES
169. Mbale City Kolonyi PNFP 221 83 YES
170. Masindi Bwijanga GOV 1,215 82 NO
171. Sheema Shuuku GOV 948 78 YES
172. Jinja City Walukuba GOV 907 78 YES
173. Mityana Ssekanyonyi GOV 737 74 YES
174. Kampala St. Luke Health Centre PNFP 199 74 YES
175. Kabale Rubaya GOV 699 73 NO
176. Kampala Luzira Staff Clinic GOV 1,233 70 NO
177. Lira Amach GOV 894 69 NO
178. Luwero St. Luke Namaliga PNFP 254 67 YES
179. Omoro Lalogi GOV 1,264 63 YES
180. Kampala Medik PFP 158 62 YES
181. Nabilatuk Nabilatuk GOV 611 61 YES
182. Mityana Mwera GOV 368 58 YES
183. Masindi Masindi Military Barracks Health Centre GOV 247 49 YES
184. Ntoroko Rwebisengo GOV 440 49 YES
185. Otuke Orum GOV 814 48 YES
186. Wakiso Sikyomu Doctors Medical Centre PFP 195 48 NO
187. Kampala Span Medicare PFP 90 48 YES
188. Kampala Kyadondo Medical Centre PFP 178 47 YES
189. Wakiso Wagagai PFP 145 47 YES

152 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

S/N LG Health facility Ownership Deliveries Caesarean Transfusion
sections Done
190. Buyende Buyende Bugaya GOV 925 45 YES
191. Kampala Bugolobi Medical Centre PFP 107 43 YES
192. Luwero St. Mary's Kasaala PNFP 181 42 YES
193. Karenga Karenga GOV 470 41 YES
194. Gomba Maddu GOV 858 41 YES
195. Kiboga Bbosa Medical Centre PFP 129 40 NO
196. Rwampara Bugamba GOV 692 39 YES
197. Kamwenge Bisozi GOV 476 38 NO
198. Amuru Atiak GOV 415 37 YES
199. Nakapiripirit Tokora GOV 642 37 YES
200. Luwero St. Mary's Kalule PNFP 144 34 YES
201. Mukono Kyetume CBHC PNFP 195 33 YES
202. Jinja Lamu Medical Centre PFP 50 31 YES
203. Kapelebyong Kapelebyong GOV 1,095 29 YES
204. Kween Kaproron GOV 776 29 NO
205. Jinja City Mpumudde GOV 1,155 27 NO
206. Gulu Awach GOV 1,040 25 YES
207. Bundibugyo Kikyo GOV 535 25 NO
208. Tororo Mulanda GOV 1,472 25 NO
209. Mityana St. Francis (Mityana) PNFP 151 25 YES
210. Hoima City City Medicals PFP 76 24 YES
211. Wakiso Namulundu Medical PFP 108 24 NO
212. Kapchorwa Kaserem GOV 617 21 NO
213. Luwero Orient Medical Centre PNFP 69 21 YES
214. Mbarara City UPDF 2nd Div. GOV 288 21 NO
215. Lamwo Madi-Opei GOV 514 16 YES
216. Butaleja Nabiganda GOV 1,603 14 YES
217. Isingiro Nyamuyanja GOV 601 14 NO
218. Nakaseke Ngoma GOV 620 13 NO
219. Wakiso Senta Medicare PFP 79 13 NO
220. Rukungiri Doctors Case Medicals PFP 166 9 YES
221. Moyo Moyo Mission PNFP 202 8 NO
222. Masindi Osepadel Medical Centre PNFP 19 6 YES
223. Masaka City Arahmah Medical Centre PNFP 36 4 NO
224. Mukono Ultra Medical Centre PFP 46 4 YES
225. Kampala Abii Clinic PFP 8 2 NO
226. Buliisa Biiso GOV 659 2 YES
227. Bukwo Bukwo NGO PNFP 261 2 NO
228. Pader 5th Military Division GOV 149 - NO
229. Katakwi Astu GOV - - NO
230. Arua Bondo GOV 618 - NO
231. Kalangala Bukasa GOV 115 - YES
232. Kassanda Bukuya GOV 1,659 - NO
233. Buliisa Buliisa GOV 520 - NO
234. Kisoro Busanza GOV 249 - NO
235. Wakiso Frost Hospital PFP 57 - NO
236. Mukono Gwalibawadde II PFP - - NO
237. Kasese Hiima UCI PNFP 1 - NO

MINISTRY OF HEALTH 153

S/N LG Health facility Ownership Deliveries Caesarean Transfusion
sections Done
238. Luwero Hope PFP 34 - NO
239. Wakiso K.T Medical Centre PFP 67 - NO
240. Bukedea Kachumbala GOV 1,429 - NO
241. Mukono Kairos Medical Centre PFP 51 - NO
242. Kabale Kakomo GOV 332 - NO
243. Kalaki Kalaki GOV 818 - NO
244. Amudat Karita GOV 622 - NO
245. Fort Portal City Kataraka GOV 338 - NO
246. Hoima Kigorobya GOV 1,384 - NO
247. Mukono Kigsley Children's Medical Centre PFP - - NO
248. Wakiso Kira GOV 957 - NO
249. Kampala Kitante Medical Centre PFP 11 - YES
250. Maracha Maracha GOV 582 - NO
251. Kumi Midas Touch PFP 2 - NO
252. Kanungu Mpungu GOV 241 - NO
253. Kaliro Musana Community PFP 38 - NO
254. Kampala Naguru Police GOV - - NO
255. Wakiso Naluvule Medical PFP 46 - NO
256. Kampala Nsambya Police GOV 725 - NO
257. Ntungamo Ntungamo GOV 971 - NO
258. Lira City Ober GOV 1,219 - NO
259. Lamwo Palabek-Kal GOV 410 - NO
260. Kampala Pearl Medical Centre PFP 182 - NO
261. Kampala Platinum Medical Centre PFP 38 - NO
262. Kanungu Rugyeyo GOV 265 - NO
263. Rukungiri Rukungiri GOV 710 - NO
264. Kabarole Ruteete GOV 234 - NO
265. Wakiso Salaama Memorial Medical Health Centre PFP 165 - NO
266. Kampala SAS Clinic PFP - - NO
267. Mukono Social Doctors PFP 191 - NO
268. Wakiso Spring Medicare PFP 223 - NO
269. Katakwi Toroma GOV 684 - NO
270. Wakiso Victoria Medical Services PFP 86 - NO
271. Wakiso Wanda Matugga PNFP 214 - NO

154 ANNUAL HEALTH SECTOR PERFORMANCE REPORT | 2023/24

Production of this report was made possible with technical and financial support from Clinton Access Initiative and UNICEF.